Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.92 / $29.92 / $68.73	Facility	26	$29.92	$29.92	$68.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $172.07 / $325.00	Professional		$81.31	$172.07	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $39.81 / $137.06	Professional	26	$36.46	$39.81	$137.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.41 / $83.69 / $227.00	Professional	TC	$51.41	$83.69	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $263.72 / $275.64	Professional		$213.70	$263.72	$275.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.91 / $97.37 / $101.78	Professional	26	$78.91	$97.37	$101.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.79 / $166.34 / $174.45	Professional	TC	$134.79	$166.34	$174.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.92 / $45.92 / $45.92	Facility	26	$45.92	$45.92	$45.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $231.29 / $373.33	Professional		$155.35	$231.29	$373.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.88 / $74.53 / $103.03	Professional	26	$40.88	$74.53	$103.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.71 / $151.49 / $294.38	Professional	TC	$101.71	$151.49	$294.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $376.16 / $376.16 / $376.16	Facility	26	$376.16	$376.16	$376.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $233.48 / $1,267.82	Professional		$117.29	$233.48	$1,267.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $95.10 / $315.37	Professional	26	$51.57	$95.10	$315.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.14 / $147.54 / $1,108.00	Professional	TC	$81.14	$147.54	$1,108.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $220.39 / $291.81	Professional		$128.41	$220.39	$291.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.67 / $79.43 / $109.74	Professional	26	$43.67	$79.43	$109.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.14 / $138.52 / $257.67	Professional	TC	$81.14	$138.52	$257.67