Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $31.81 / $31.81	Professional		$29.94	$31.81	$31.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $27.13 / $27.13	Professional	26	$25.80	$27.13	$27.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.97 / $15.91 / $15.91	Professional	52	$14.97	$15.91	$15.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.13 / $4.68 / $4.68	Professional	TC	$4.13	$4.68	$4.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $66.53 / $72.94	Professional		$55.33	$66.53	$72.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.61 / $57.25 / $62.76	Professional	26	$47.61	$57.25	$62.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.90 / $9.08 / $10.21	Professional	TC	$6.90	$9.08	$10.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $56.07 / $94.04	Professional		$25.04	$56.07	$94.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $47.75 / $81.87	Professional	26	$20.74	$47.75	$81.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $7.10 / $12.17	Professional	TC	$3.24	$7.10	$12.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $47.36 / $303.81	Professional		$25.07	$47.36	$303.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $41.57 / $156.38	Professional	26	$22.08	$41.57	$156.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $2.43 / $4.59 / $211.93	Professional	TC	$2.43	$4.59	$211.93
United Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $39.42 / $59.31	Professional		$24.34	$39.42	$59.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $42.77 / $60.23	Professional	26	$22.08	$42.77	$60.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $4.63 / $8.36	Professional	TC	$3.47	$4.63	$8.36