Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $36.88 / $36.88	Professional		$33.90	$36.88	$36.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $17.38 / $17.38	Professional	26	$16.42	$17.38	$17.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $19.48 / $19.48	Professional	TC	$17.50	$19.48	$19.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $81.14 / $84.81	Professional		$65.14	$81.14	$84.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $36.36 / $39.86	Professional	26	$30.23	$36.36	$39.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.10 / $41.00 / $44.95	Professional	TC	$34.10	$41.00	$44.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $65.30 / $109.53	Professional		$29.17	$65.30	$109.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $29.68 / $50.89	Professional	26	$13.55	$29.68	$50.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.62 / $34.96 / $58.64	Professional	TC	$15.62	$34.96	$58.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $33.90 / $58.50	Facility		$25.43	$33.90	$58.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $58.02 / $354.38	Professional		$29.15	$58.02	$354.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $26.56 / $98.32	Professional	26	$14.11	$26.56	$98.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.11 / $28.45 / $180.44	Professional	TC	$15.11	$28.45	$180.44
United Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $41.61 / $68.06	Professional		$29.01	$41.61	$68.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.90 / $19.55 / $32.70	Professional	26	$13.90	$19.55	$32.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $22.05 / $35.26	Professional	TC	$15.04	$22.05	$35.26