Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.77 / $39.77 / $91.17	Facility	26	$39.77	$39.77	$91.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $160.81 / $325.00	Professional		$115.18	$160.81	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.77 / $54.40 / $74.54	Professional	26	$39.77	$54.40	$74.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.41 / $106.10 / $229.28	Professional	TC	$75.41	$106.10	$229.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $366.77 / $384.64	Professional		$297.20	$366.77	$384.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.55 / $129.02 / $134.85	Professional	26	$104.55	$129.02	$134.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.66 / $237.75 / $249.33	Professional	TC	$192.66	$237.75	$249.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.43 / $304.39 / $482.64	Professional		$213.43	$304.39	$482.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.67 / $98.58 / $137.08	Professional	26	$54.67	$98.58	$137.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.30 / $215.63 / $353.49	Professional	TC	$145.30	$215.63	$353.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.08 / $502.08 / $502.08	Facility	26	$502.08	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $326.45 / $1,547.04	Professional		$179.55	$326.45	$1,547.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.30 / $107.94 / $363.24	Professional	26	$57.30	$107.94	$363.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.06 / $212.74 / $1,263.33	Professional	TC	$117.06	$212.74	$1,263.33
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $303.92 / $493.43	Professional		$165.65	$303.92	$493.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $103.75 / $141.66	Professional	26	$57.74	$103.75	$141.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.06 / $199.21 / $320.93	Professional	TC	$117.06	$199.21	$320.93