Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $60.26 / $100.00	Facility	26	$47.86	$60.26	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $501.19	Professional		$181.97	$275.42	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $154.88	Professional	26	$52.48	$70.79	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $190.55 / $346.74	Professional	TC	$125.89	$190.55	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $512.86	Professional		$363.08	$457.09	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $134.90 / $151.36	Professional	26	$107.15	$134.90	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $323.59 / $363.08	Professional	TC	$257.04	$323.59	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $660.69	Professional		$251.19	$380.19	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $89.13 / $154.88	Professional	26	$50.12	$89.13	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $275.42 / $489.78	Professional	TC	$169.82	$275.42	$489.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	26	$549.54	$549.54	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $2,344.23	Professional		$234.42	$467.74	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $125.89 / $537.03	Professional	26	$67.61	$125.89	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $354.81 / $1,995.26	Professional	TC	$165.96	$354.81	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $562.34	Professional		$234.42	$416.87	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $112.20 / $165.96	Professional	26	$60.26	$112.20	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $309.03 / $436.52	Professional	TC	$165.96	$309.03	$436.52