Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $241.15 / $267.37	Facility		$34.11	$241.15	$267.37
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.96 / $24.94 / $27.06	Facility	26	$17.96	$24.94	$27.06
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.71 / $241.15 / $326.52	Facility	TC	$20.71	$241.15	$326.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $45.63 / $80.15	Professional		$28.43	$45.63	$80.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.11 / $19.70 / $27.06	Professional	26	$16.11	$19.70	$27.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.22 / $15.62 / $34.75	Professional	52	$14.22	$15.62	$34.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.33 / $13.28 / $55.64	Professional	TC	$12.33	$13.28	$55.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $82.89 / $82.89	Professional		$70.45	$82.89	$82.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $76.06 / $120.28	Professional		$35.13	$76.06	$120.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.00 / $31.67 / $47.32	Professional	26	$19.00	$31.67	$47.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $51.23 / $80.06	Professional	TC	$17.36	$51.23	$80.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $70.73 / $136.44	Facility		$31.24	$70.73	$136.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $47.60 / $100.00	Facility	26	$47.60	$47.60	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $52.28 / $52.28 / $141.03	Facility	TC	$52.28	$52.28	$141.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $81.12 / $402.37	Professional		$45.83	$81.12	$402.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $27.63 / $130.60	Professional	26	$22.01	$27.63	$130.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $55.33 / $284.52	Professional	TC	$23.82	$55.33	$284.52
United Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $56.37 / $96.11	Professional		$45.45	$56.37	$96.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.71 / $24.21 / $32.11	Professional	26	$21.71	$24.21	$32.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $26.20 / $59.59	Professional	TC	$22.85	$26.20	$59.59