Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.74 / $10.74 / $41.94	Facility	26	$10.74	$10.74	$41.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.48 / $24.61	Professional	26	$9.16	$10.48	$24.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $16.48 / $36.82	Professional	TC	$15.02	$16.48	$36.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.59 / $56.47 / $61.91	Professional	26	$46.59	$56.47	$61.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.29 / $82.77 / $90.75	Professional	TC	$68.29	$82.77	$90.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $53.87 / $80.93	Professional	26	$36.32	$53.87	$80.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.98 / $81.55 / $122.52	Professional	TC	$54.98	$81.55	$122.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $57.75 / $110.49	Facility	26	$57.75	$57.75	$110.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $149.40 / $149.40 / $149.40	Professional	26	$149.40	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $183.70 / $183.70 / $183.70	Professional	TC	$183.70	$183.70	$183.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.43 / $36.45 / $56.06	Professional	26	$28.43	$36.45	$56.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.06 / $56.44 / $101.35	Professional	TC	$42.06	$56.44	$101.35