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 $117.95 / $201.76 / $353.25	Professional		$117.95	$201.76	$353.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.77 / $56.06 / $167.40	Professional	26	$39.77	$56.06	$167.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.18 / $130.15 / $287.80	Professional	TC	$78.18	$130.15	$287.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.43 / $375.69 / $393.99	Professional		$304.43	$375.69	$393.99
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 $199.89 / $246.67 / $258.69	Professional	TC	$199.89	$246.67	$258.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.98 / $60.98 / $60.98	Facility	26	$60.98	$60.98	$60.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.85 / $326.20 / $506.00	Professional		$221.85	$326.20	$506.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.48 / $99.60 / $137.97	Professional	26	$56.48	$99.60	$137.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.76 / $226.26 / $363.11	Professional	TC	$150.76	$226.26	$363.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $498.88 / $498.88 / $498.88	Facility	26	$498.88	$498.88	$498.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.48 / $337.24 / $1,708.01	Professional		$185.48	$337.24	$1,708.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $107.94 / $384.71	Professional	26	$57.74	$107.94	$384.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $122.99 / $223.40 / $2,023.00	Professional	TC	$122.99	$223.40	$2,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.48 / $320.38 / $717.22	Professional		$185.48	$320.38	$717.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.49 / $100.00 / $141.68	Professional	26	$62.49	$100.00	$141.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.88 / $206.55 / $391.58	Professional	TC	$111.88	$206.55	$391.58