Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.17 / $30.17 / $69.31	Facility	26	$30.17	$30.17	$69.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $226.80 / $592.20	Professional		$98.25	$226.80	$592.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $49.18 / $146.69	Professional	26	$37.79	$49.18	$146.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $49.13 / $69.00 / $113.40	Professional	52	$49.13	$69.00	$113.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.08 / $155.59 / $308.42	Professional	TC	$68.08	$155.59	$308.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.43 / $316.45 / $331.87	Professional		$256.43	$316.45	$331.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.56 / $98.18 / $102.62	Professional	26	$79.56	$98.18	$102.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.88 / $218.27 / $228.91	Professional	TC	$176.88	$218.27	$228.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.27 / $46.27 / $46.27	Facility	26	$46.27	$46.27	$46.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.64 / $275.20 / $426.00	Professional		$187.64	$275.20	$426.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.98 / $75.48 / $115.39	Professional	26	$42.98	$75.48	$115.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.50 / $194.01 / $309.77	Professional	TC	$133.50	$194.01	$309.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $379.28 / $379.28 / $379.28	Facility	26	$379.28	$379.28	$379.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $280.14 / $1,413.47	Professional		$154.08	$280.14	$1,413.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.23 / $85.94 / $333.52	Professional	26	$48.23	$85.94	$333.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.81 / $194.20 / $1,220.00	Professional	TC	$106.81	$194.20	$1,220.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $259.19 / $495.15	Professional		$154.08	$259.19	$495.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $80.11 / $124.08	Professional	26	$44.03	$80.11	$124.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.81 / $179.84 / $341.04	Professional	TC	$106.81	$179.84	$341.04