Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $107.15 / $107.15	Facility	26	$100.00	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $537.03	Professional		$338.84	$371.54	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $109.65 / $181.97	Professional	26	$100.00	$109.65	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $269.15 / $354.81	Professional	TC	$229.09	$269.15	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $870.96	Professional		$588.84	$794.33	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $239.88 / $269.15	Professional	26	$181.97	$239.88	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $549.54 / $602.56	Professional	TC	$416.87	$549.54	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,071.52	Professional		$467.74	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $194.98 / $316.23	Professional	26	$134.90	$194.98	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $467.74 / $758.58	Professional	TC	$338.84	$467.74	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $758.58	Professional		$323.59	$562.34	$758.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $194.98 / $229.09	Professional	26	$112.20	$194.98	$229.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $371.54 / $524.81	Professional	TC	$199.53	$371.54	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $851.14	Professional		$323.59	$588.84	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $194.98 / $269.15	Professional	26	$112.20	$194.98	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $389.05 / $588.84	Professional	TC	$208.93	$389.05	$588.84