Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $27.68 / $49.38	Professional		$25.29	$27.68	$49.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $13.69 / $20.84	Professional	26	$12.20	$13.69	$20.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.08 / $14.10 / $33.75	Professional	TC	$13.08	$14.10	$33.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.76 / $76.76 / $80.80	Facility		$76.76	$76.76	$80.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $62.00 / $62.00	Professional		$52.70	$62.00	$62.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $42.55 / $77.00	Professional		$28.01	$42.55	$77.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $21.22 / $31.00	Professional	26	$13.94	$21.22	$31.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.29 / $22.89 / $46.00	Professional	TC	$14.29	$22.89	$46.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.93 / $30.32 / $69.33	Facility		$22.93	$30.32	$69.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $36.40 / $36.40	Facility	26	$36.40	$36.40	$36.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $40.95 / $354.38	Professional		$29.15	$40.95	$354.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $18.98 / $98.32	Professional	26	$14.11	$18.98	$98.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $22.05 / $180.44	Professional	TC	$15.04	$22.05	$180.44
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $35.72 / $55.46	Professional		$29.15	$35.72	$55.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $17.39 / $24.21	Professional	26	$14.07	$17.39	$24.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $19.39 / $36.89	Professional	TC	$14.51	$19.39	$36.89