Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $52.00 / $52.00	Professional		$47.99	$52.00	$52.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $22.63 / $22.63	Professional	26	$21.83	$22.63	$22.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $29.37 / $29.37	Professional	TC	$26.16	$29.37	$29.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $108.30 / $119.09	Professional		$90.07	$108.30	$119.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.24 / $47.19 / $51.74	Professional	26	$39.24	$47.19	$51.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.83 / $61.11 / $67.56	Professional	TC	$50.83	$61.11	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $90.99 / $156.00	Professional		$41.54	$90.99	$156.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $39.36 / $67.48	Professional	26	$17.97	$39.36	$67.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $51.62 / $88.51	Professional	TC	$23.57	$51.62	$88.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.51 / $88.00 / $339.23	Professional		$41.51	$88.00	$339.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $35.34 / $128.44	Professional	26	$18.78	$35.34	$128.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $44.98 / $221.35	Professional	TC	$22.73	$44.98	$221.35
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $56.63 / $96.43	Professional		$41.11	$56.63	$96.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.28 / $25.39 / $44.18	Professional	26	$18.28	$25.39	$44.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $33.29 / $53.50	Professional	TC	$22.40	$33.29	$53.50