Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $53.70 / $91.20	Facility	26	$38.90	$53.70	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $457.09	Professional		$169.82	$239.88	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $72.44 / $173.78	Professional	26	$48.98	$72.44	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $177.83 / $338.84	Professional	TC	$120.23	$177.83	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $467.74	Professional		$316.23	$426.58	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $134.90	Professional	26	$93.33	$123.03	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $302.00 / $331.13	Professional	TC	$229.09	$302.00	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $575.44	Professional		$229.09	$354.81	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $85.11 / $144.54	Professional	26	$45.71	$85.11	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $251.19 / $436.52	Professional	TC	$169.82	$251.19	$436.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $467.74 / $1,949.84	Professional		$229.09	$467.74	$1,949.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $117.49 / $562.34	Professional	26	$57.54	$117.49	$562.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $354.81 / $1,548.82	Professional	TC	$169.82	$354.81	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $549.54	Professional		$229.09	$389.05	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $104.71 / $144.54	Professional	26	$54.95	$104.71	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $288.40 / $416.87	Professional	TC	$169.82	$288.40	$416.87