Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.20 / $45.20 / $103.70	Facility	26	$45.20	$45.20	$103.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $200.02 / $325.00	Professional		$116.06	$200.02	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.20 / $62.19 / $110.41	Professional	26	$45.20	$62.19	$110.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.86 / $118.13 / $227.00	Professional	TC	$70.86	$118.13	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.48 / $370.82 / $388.88	Professional		$300.48	$370.82	$388.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.01 / $146.87 / $153.51	Professional	26	$119.01	$146.87	$153.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.47 / $223.95 / $234.86	Professional	TC	$181.47	$223.95	$234.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.44 / $69.44 / $69.44	Facility	26	$69.44	$69.44	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $291.81 / $450.00	Professional		$217.91	$291.81	$450.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.90 / $112.11 / $155.41	Professional	26	$61.90	$112.11	$155.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.97 / $198.95 / $316.00	Professional	TC	$136.97	$198.95	$316.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $568.24 / $568.24 / $568.24	Facility	26	$568.24	$568.24	$568.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $369.15 / $1,403.43	Professional		$191.37	$369.15	$1,403.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.86 / $122.63 / $384.88	Professional	26	$64.86	$122.63	$384.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $121.69 / $233.55 / $1,332.00	Professional	TC	$121.69	$233.55	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $330.29 / $584.82	Professional		$184.15	$330.29	$584.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.68 / $117.84 / $161.00	Professional	26	$65.68	$117.84	$161.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $195.72 / $267.50	Professional	TC	$101.41	$195.72	$267.50