Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $67.62 / $109.81	Facility		$67.62	$67.62	$109.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.21 / $38.21 / $61.77	Facility	26	$38.21	$38.21	$61.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $87.31 / $253.00	Professional		$62.96	$87.31	$253.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $50.20 / $89.47	Professional	26	$35.15	$50.20	$89.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.98 / $37.11 / $163.52	Professional	TC	$26.98	$37.11	$163.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $148.53 / $163.02	Professional		$122.13	$148.53	$163.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.34 / $84.32 / $92.45	Professional	26	$69.34	$84.32	$92.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.79 / $64.20 / $70.63	Professional	TC	$52.79	$64.20	$70.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $160.34 / $227.94	Professional		$89.46	$160.34	$227.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.45 / $85.40 / $119.15	Professional	26	$48.45	$85.40	$119.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.01 / $68.62 / $147.55	Professional	TC	$41.01	$68.62	$147.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $109.82 / $305.01	Facility		$67.62	$109.82	$305.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $132.16 / $1,317.18	Professional		$76.52	$132.16	$1,317.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.56 / $71.78 / $638.00	Professional	26	$41.56	$71.78	$638.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.96 / $60.38 / $870.88	Professional	TC	$34.96	$60.38	$870.88
United Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $125.21 / $176.40	Professional		$76.52	$125.21	$176.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $70.27 / $98.95	Professional	26	$39.70	$70.27	$98.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.59 / $56.22 / $82.23	Professional	TC	$29.59	$56.22	$82.23