Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.90 / $24.90 / $26.60	Facility	26	$24.90	$24.90	$26.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $138.30 / $171.54	Professional		$116.67	$138.30	$171.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.46 / $114.16 / $144.26	Professional	TC	$96.46	$114.16	$144.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $130.90 / $179.74	Professional		$31.11	$130.90	$179.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $151.26 / $237.84	Professional		$84.63	$151.26	$237.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.31 / $130.81 / $225.62	Professional	TC	$96.31	$130.81	$225.62
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 $114.66 / $157.76 / $964.87	Professional		$114.66	$157.76	$964.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $86.04 / $112.93 / $798.40	Professional	TC	$86.04	$112.93	$798.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $135.34 / $242.64	Professional		$112.33	$135.34	$242.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.04 / $105.99 / $205.74	Professional	TC	$86.04	$105.99	$205.74