Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $40.74 / $69.18	Facility	26	$30.20	$40.74	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $512.86	Professional		$112.20	$186.21	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $60.26 / $147.91	Professional	26	$36.31	$60.26	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $158.49 / $363.08	Professional	TC	$79.43	$158.49	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $331.13	Professional		$239.88	$302.00	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $104.71	Professional	26	$74.13	$93.33	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $208.93 / $229.09	Professional	TC	$162.18	$208.93	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $407.38	Professional		$151.36	$251.19	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $61.66 / $117.49	Professional	26	$34.67	$61.66	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $173.78 / $288.40	Professional	TC	$100.00	$173.78	$288.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $1,412.54	Professional		$141.25	$257.04	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $331.13	Professional	26	$50.12	$83.18	$331.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $181.97 / $1,230.27	Professional	TC	$97.72	$181.97	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $363.08	Professional		$141.25	$245.47	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $72.44 / $109.65	Professional	26	$43.65	$72.44	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $173.78 / $257.04	Professional	TC	$97.72	$173.78	$257.04