Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $52.28 / $78.37	Professional		$42.22	$52.28	$78.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.86 / $23.22 / $30.46	Professional	26	$17.86	$23.22	$30.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.11 / $26.14 / $40.25	Professional	52	$21.11	$26.14	$40.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $29.05 / $47.99	Professional	TC	$24.36	$29.05	$47.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $58.80 / $80.73	Professional		$26.25	$58.80	$80.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $73.04 / $105.55	Professional		$41.27	$73.04	$105.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $31.04 / $39.61	Professional	26	$18.89	$31.04	$39.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $39.96 / $65.93	Professional	TC	$22.38	$39.96	$65.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $54.89 / $104.51	Facility		$44.44	$54.89	$104.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.29 / $61.29 / $152.15	Facility	26	$61.29	$61.29	$152.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $64.23 / $138.76	Professional		$51.39	$64.23	$138.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.15 / $26.74 / $167.21	Professional	26	$22.15	$26.74	$167.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $36.09 / $257.11	Professional	TC	$28.87	$36.09	$257.11
United Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $61.76 / $88.78	Professional		$49.46	$61.76	$88.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.68 / $25.34 / $32.01	Professional	26	$21.68	$25.34	$32.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $34.29 / $61.91	Professional	TC	$27.81	$34.29	$61.91