Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $110.95 / $150.00	Professional		$31.09	$110.95	$150.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $33.29 / $41.06	Professional	26	$17.05	$33.29	$41.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.04 / $79.13 / $97.42	Professional	TC	$14.04	$79.13	$97.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $37.20 / $46.50	Professional		$32.54	$37.20	$46.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $20.23 / $25.30	Professional	26	$17.71	$20.23	$25.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $16.96 / $21.20	Professional	TC	$14.84	$16.96	$21.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.05 / $24.05 / $24.05	Facility	26	$24.05	$24.05	$24.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $78.01 / $175.34	Professional		$35.65	$78.01	$175.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $33.71 / $55.81	Professional	26	$19.48	$33.71	$55.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $32.96 / $123.21	Professional	TC	$15.88	$32.96	$123.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $201.45 / $201.45 / $201.45	Facility	26	$201.45	$201.45	$201.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $101.77 / $764.92	Professional		$36.72	$101.77	$764.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $32.96 / $382.94	Professional	26	$21.42	$32.96	$382.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $71.06 / $585.86	Professional	TC	$15.51	$71.06	$585.86
United Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $50.42 / $139.91	Professional		$35.20	$50.42	$139.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.16 / $28.98 / $48.79	Professional	26	$20.16	$28.98	$48.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.43 / $23.24 / $103.83	Professional	TC	$15.43	$23.24	$103.83