Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $52.98 / $71.72	Professional		$42.20	$52.98	$71.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $31.89 / $41.74	Professional	26	$24.54	$31.89	$41.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.66 / $21.10 / $29.98	Professional	TC	$17.66	$21.10	$29.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $59.50 / $81.70	Professional		$35.70	$59.50	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $69.06 / $84.09	Professional		$42.04	$69.06	$84.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.93 / $42.60 / $54.79	Professional	26	$25.93	$42.60	$54.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $26.47 / $32.60	Professional	TC	$16.11	$26.47	$32.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.68 / $84.68 / $165.02	Facility	26	$84.68	$84.68	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $61.37 / $155.84	Professional		$51.68	$61.37	$155.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.43 / $36.69 / $347.34	Professional	26	$30.43	$36.69	$347.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $23.38 / $166.53	Professional	TC	$18.64	$23.38	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $58.14 / $74.29	Professional		$48.96	$58.14	$74.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.74 / $34.76 / $44.50	Professional	26	$29.74	$34.76	$44.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $23.38 / $28.58	Professional	TC	$18.19	$23.38	$28.58