Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.97 / $14.97 / $25.63	Facility	26	$14.97	$14.97	$25.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $89.49 / $105.76	Professional		$74.15	$89.49	$105.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $14.68 / $14.97	Professional	26	$12.45	$14.68	$14.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.52 / $249.92 / $262.08	Professional		$202.52	$249.92	$262.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $36.52 / $38.17	Professional	26	$29.59	$36.52	$38.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $158.85 / $242.79	Professional		$73.37	$158.85	$242.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $27.91 / $38.09	Professional	26	$15.33	$27.91	$38.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $154.78 / $611.40	Professional		$85.13	$154.78	$611.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $30.74 / $163.46	Professional	26	$15.16	$30.74	$163.46
United Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $154.46 / $225.46	Professional		$85.13	$154.46	$225.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $28.46 / $37.34	Professional	26	$15.52	$28.46	$37.34