Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $156.53 / $199.25	Professional		$109.30	$156.53	$199.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.29 / $128.18 / $165.05	Professional	TC	$87.29	$128.18	$165.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $161.02 / $201.28	Professional		$120.77	$161.02	$201.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.47 / $136.62 / $170.78	Professional	TC	$102.47	$136.62	$170.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $160.91 / $283.27	Professional		$90.08	$160.91	$283.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.18 / $145.37 / $246.17	Professional	TC	$74.18	$145.37	$246.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.61 / $121.12 / $121.12	Facility	26	$62.61	$121.12	$121.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $153.60 / $964.87	Professional		$107.02	$153.60	$964.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.01 / $124.31 / $798.40	Professional	TC	$80.01	$124.31	$798.40
United Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $142.38 / $289.11	Professional		$106.92	$142.38	$289.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.80 / $110.26 / $202.36	Professional	TC	$79.80	$110.26	$202.36