Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $69.78 / $183.34	Professional		$63.87	$69.78	$183.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $27.96 / $29.40	Professional	26	$25.55	$27.96	$29.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.94 / $34.89 / $34.89	Professional	52	$31.94	$34.89	$34.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.90 / $40.38 / $40.38	Professional	TC	$35.90	$40.38	$40.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $146.19 / $160.47	Professional		$121.59	$146.19	$160.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.83 / $61.11 / $67.00	Professional	26	$50.83	$61.11	$67.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.77 / $85.09 / $93.76	Professional	TC	$70.77	$85.09	$93.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $123.25 / $211.32	Professional		$56.27	$123.25	$211.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.28 / $50.98 / $87.40	Professional	26	$23.28	$50.98	$87.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $72.27 / $123.91	Professional	TC	$33.00	$72.27	$123.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $63.87 / $131.76	Facility		$47.90	$63.87	$131.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $104.68 / $396.63	Professional		$58.49	$104.68	$396.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $51.29 / $167.21	Professional	26	$23.96	$51.29	$167.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.28 / $68.20 / $257.11	Professional	TC	$31.28	$68.20	$257.11
United Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $79.06 / $128.43	Professional		$54.60	$79.06	$128.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.93 / $32.88 / $55.97	Professional	26	$23.93	$32.88	$55.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.28 / $46.18 / $73.59	Professional	TC	$31.28	$46.18	$73.59