Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.42 / $27.42 / $27.42	Facility	26	$27.42	$27.42	$27.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $171.54 / $198.66	Professional		$116.67	$171.54	$198.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.46 / $144.26 / $161.46	Professional	TC	$96.46	$144.26	$161.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.62 / $409.22 / $453.43	Professional		$338.62	$409.22	$453.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.87 / $347.33 / $387.11	Professional	TC	$288.87	$347.33	$387.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $380.20 / $594.12	Professional		$120.23	$380.20	$594.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.83 / $323.56 / $505.61	Professional	TC	$100.83	$323.56	$505.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.34 / $250.47 / $964.87	Professional		$135.34	$250.47	$964.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.55 / $200.95 / $798.40	Professional	TC	$107.55	$200.95	$798.40
United Facility/Professional Professional Modifier Low / Median / High Price $135.34 / $250.47 / $361.20	Professional		$135.34	$250.47	$361.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.55 / $209.63 / $376.42	Professional	TC	$107.55	$209.63	$376.42