Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $142.97 / $142.97	Professional		$113.12	$142.97	$142.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $16.25 / $16.25	Professional	26	$15.33	$16.25	$16.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.79 / $126.73 / $126.73	Professional	TC	$97.79	$126.73	$126.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.77 / $306.33 / $336.17	Professional		$254.77	$306.33	$336.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.31 / $34.03 / $37.32	Professional	26	$28.31	$34.03	$37.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.47 / $272.30 / $299.01	Professional	TC	$226.47	$272.30	$299.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $258.73 / $445.87	Professional		$109.53	$258.73	$445.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $27.75 / $47.57	Professional	26	$12.67	$27.75	$47.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.25 / $231.12 / $398.30	Professional	TC	$91.25	$231.12	$398.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $176.10 / $800.25	Professional		$93.23	$176.10	$800.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $24.83 / $135.38	Professional	26	$13.19	$24.83	$135.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.81 / $150.75 / $706.26	Professional	TC	$79.81	$150.75	$706.26
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $165.49 / $255.69	Professional		$96.63	$165.49	$255.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $20.18 / $30.36	Professional	26	$12.67	$20.18	$30.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.44 / $150.75 / $206.20	Professional	TC	$83.44	$150.75	$206.20