Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $120.71 / $346.50	Professional		$108.60	$120.71	$346.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.63 / $84.89 / $84.89	Professional	26	$80.63	$84.89	$84.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.96 / $35.83 / $35.83	Professional	TC	$27.96	$35.83	$35.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.02 / $242.90 / $270.29	Professional		$202.02	$242.90	$270.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $146.05 / $175.60 / $192.53	Professional	26	$146.05	$175.60	$192.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.67 / $67.30 / $78.55	Professional	TC	$56.67	$67.30	$78.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $203.91 / $349.61	Professional		$93.10	$203.91	$349.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.17 / $147.13 / $252.25	Professional	26	$67.17	$147.13	$252.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.95 / $56.50 / $97.36	Professional	TC	$20.95	$56.50	$97.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $174.66 / $702.18	Professional		$92.47	$174.66	$702.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $130.50 / $487.97	Professional	26	$69.33	$130.50	$487.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $38.15 / $214.27	Professional	TC	$20.20	$38.15	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $133.97 / $214.62	Professional		$88.41	$133.97	$214.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.01 / $106.03 / $162.78	Professional	26	$68.01	$106.03	$162.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $36.59 / $56.97	Professional	TC	$23.92	$36.59	$56.97