Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $54.22 / $88.64	Professional		$47.43	$54.22	$88.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.51 / $22.89 / $35.47	Professional	26	$20.51	$22.89	$35.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.72 / $26.02 / $40.15	Professional	52	$23.72	$26.02	$40.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $29.15 / $60.08	Professional	TC	$26.92	$29.15	$60.08
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 $87.32 / $102.73 / $102.73	Professional		$87.32	$102.73	$102.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $79.81 / $138.00	Professional		$54.03	$79.81	$138.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $34.49 / $58.00	Professional	26	$21.98	$34.49	$58.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $45.51 / $80.00	Professional	TC	$29.17	$45.51	$80.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $57.01 / $104.51	Facility		$43.19	$57.01	$104.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.29 / $61.29 / $61.29	Facility	26	$61.29	$61.29	$61.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $75.16 / $396.63	Professional		$54.60	$75.16	$396.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.34 / $29.49 / $167.21	Professional	26	$23.34	$29.49	$167.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.67 / $45.45 / $257.11	Professional	TC	$30.67	$45.45	$257.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $67.45 / $92.70	Professional		$52.69	$67.45	$92.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.09 / $29.40 / $38.40	Professional	26	$23.09	$29.40	$38.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.47 / $37.89 / $55.29	Professional	TC	$30.47	$37.89	$55.29