Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $87.10	Facility	26	$52.48	$52.48	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $457.09	Professional		$128.82	$169.82	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $141.25	Professional	26	$47.86	$67.61	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $102.33 / $288.40	Professional	TC	$81.28	$102.33	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $363.08	Professional		$245.47	$323.59	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $117.49 / $131.83	Professional	26	$89.13	$117.49	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $208.93 / $229.09	Professional	TC	$154.88	$208.93	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $380.19	Professional		$154.88	$218.78	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $75.86 / $131.83	Professional	26	$43.65	$75.86	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $138.04 / $239.88	Professional	TC	$100.00	$138.04	$239.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	26	$478.63	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $912.01	Professional		$134.90	$269.15	$912.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $100.00 / $323.59	Professional	26	$54.95	$100.00	$323.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $181.97 / $588.84	Professional	TC	$93.33	$181.97	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $380.19	Professional		$134.90	$257.04	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $89.13 / $134.90	Professional	26	$47.86	$89.13	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $169.82 / $245.47	Professional	TC	$87.10	$169.82	$245.47