Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $53.12 / $80.94	Professional		$48.18	$53.12	$80.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.05 / $31.36 / $48.63	Professional	26	$28.05	$31.36	$48.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $21.76 / $32.60	Professional	TC	$20.13	$21.76	$32.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $85.59 / $85.59	Professional		$72.75	$85.59	$85.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $80.20 / $104.81	Professional		$50.91	$80.20	$104.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.31 / $47.34 / $61.72	Professional	26	$30.31	$47.34	$61.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $32.97 / $43.09	Professional	TC	$19.70	$32.97	$43.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.68 / $84.68 / $84.68	Facility	26	$84.68	$84.68	$84.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $65.77 / $396.08	Professional		$52.16	$65.77	$396.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.94 / $40.46 / $347.34	Professional	26	$31.94	$40.46	$347.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $25.93 / $166.53	Professional	TC	$19.11	$25.93	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $65.51 / $93.16	Professional		$51.68	$65.51	$93.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $39.58 / $50.61	Professional	26	$30.90	$39.58	$50.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $25.89 / $36.86	Professional	TC	$19.48	$25.89	$36.86