Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.78 / $40.78 / $87.10	Facility	26	$40.78	$40.78	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.64 / $176.19 / $325.00	Professional		$111.64	$176.19	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $51.59 / $147.74	Professional	26	$44.14	$51.59	$147.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $55.82 / $71.54 / $110.88	Professional	52	$55.82	$71.54	$110.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.86 / $107.34 / $291.63	Professional	TC	$70.86	$107.34	$291.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $328.63 / $344.64	Professional		$266.30	$328.63	$344.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.95 / $123.34 / $128.91	Professional	26	$99.95	$123.34	$128.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.35 / $205.30 / $215.29	Professional	TC	$166.35	$205.30	$215.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.64 / $58.64 / $58.64	Facility	26	$58.64	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $288.20 / $472.98	Professional		$193.49	$288.20	$472.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.03 / $95.16 / $134.72	Professional	26	$54.03	$95.16	$134.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.55 / $197.04 / $368.91	Professional	TC	$125.55	$197.04	$368.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $479.84 / $479.84 / $479.84	Facility	26	$479.84	$479.84	$479.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $345.59 / $1,609.32	Professional		$160.60	$345.59	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $110.16 / $394.61	Professional	26	$59.19	$110.16	$394.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $121.69 / $234.84 / $1,384.00	Professional	TC	$121.69	$234.84	$1,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $294.58 / $400.88	Professional		$160.60	$294.58	$400.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $102.84 / $137.28	Professional	26	$56.23	$102.84	$137.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.66 / $212.38 / $354.93	Professional	TC	$102.66	$212.38	$354.93