Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $44.67	Professional		$23.99	$28.18	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $28.84	Professional	26	$19.05	$22.91	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.24 / $3.98 / $8.91	Professional	TC	$2.24	$3.98	$8.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $33.88	Professional		$15.85	$20.89	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $53.70	Professional		$25.12	$36.31	$53.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $34.67	Professional	26	$18.20	$23.99	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $5.13 / $34.67	Professional	TC	$3.47	$5.13	$34.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $112.20	Facility	26	$57.54	$57.54	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $100.00	Professional		$23.99	$31.62	$100.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.99 / $154.88	Professional	26	$17.38	$23.99	$154.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.37 / $213.80	Professional	TC	$3.02	$4.37	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $64.57	Professional		$22.91	$28.18	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.44 / $29.51	Professional	26	$16.60	$23.44	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $3.98 / $42.66	Professional	TC	$2.82	$3.98	$42.66