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 $158.12 / $228.44 / $409.21	Professional		$158.12	$228.44	$409.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.77 / $59.50 / $98.00	Professional	26	$39.77	$59.50	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.35 / $160.94 / $339.73	Professional	TC	$118.35	$160.94	$339.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.98 / $445.47 / $467.17	Professional		$360.98	$445.47	$467.17
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 $256.43 / $316.45 / $331.87	Professional	TC	$256.43	$316.45	$331.87
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 $281.66 / $387.67 / $597.67	Professional		$281.66	$387.67	$597.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.09 / $99.60 / $143.99	Professional	26	$57.09	$99.60	$143.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.99 / $270.70 / $437.78	Professional	TC	$201.99	$270.70	$437.78
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 $245.14 / $516.00 / $1,940.92	Professional		$245.14	$516.00	$1,940.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.64 / $130.32 / $556.79	Professional	26	$58.64	$130.32	$556.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $184.65 / $375.03 / $1,561.11	Professional	TC	$184.65	$375.03	$1,561.11
United Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $467.10 / $794.50	Professional		$236.47	$467.10	$794.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.95 / $111.44 / $160.01	Professional	26	$59.95	$111.44	$160.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.26 / $347.74 / $592.41	Professional	TC	$169.26	$347.74	$592.41