Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.65 / $105.65 / $173.10	Facility	26	$105.65	$105.65	$173.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $357.18 / $568.13	Professional		$312.81	$357.18	$568.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.16 / $105.65 / $154.27	Professional	26	$98.16	$105.65	$154.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $251.53 / $410.83	Professional	TC	$206.93	$251.53	$410.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $785.93 / $904.37	Professional		$668.04	$785.93	$904.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $196.87 / $236.71 / $259.52	Professional	26	$196.87	$236.71	$259.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $466.84 / $549.23 / $651.54	Professional	TC	$466.84	$549.23	$651.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.02 / $834.85 / $1,078.08	Professional		$445.02	$834.85	$1,078.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.43 / $220.70 / $311.19	Professional	26	$125.43	$220.70	$311.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $319.58 / $543.89 / $766.89	Professional	TC	$319.58	$543.89	$766.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $349.92 / $636.22 / $937.34	Professional		$349.92	$636.22	$937.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $116.18 / $198.33 / $274.04	Professional	26	$116.18	$198.33	$274.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $233.74 / $424.98 / $663.30	Professional	TC	$233.74	$424.98	$663.30
United Facility/Professional Professional Modifier Low / Median / High Price $349.92 / $638.79 / $937.34	Professional		$349.92	$638.79	$937.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $118.18 / $211.24 / $274.04	Professional	26	$118.18	$211.24	$274.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.91 / $523.97 / $663.30	Professional	TC	$251.91	$523.97	$663.30