Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.04 / $52.04 / $87.10	Facility	26	$52.04	$52.04	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $149.46 / $264.52	Professional		$134.40	$149.46	$264.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $52.25 / $147.13	Professional	26	$46.10	$52.25	$147.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.37 / $97.45 / $227.00	Professional	TC	$86.37	$97.45	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.50 / $339.99 / $356.55	Professional		$275.50	$339.99	$356.55
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 $175.56 / $216.66 / $227.20	Professional	TC	$175.56	$216.66	$227.20
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 $169.25 / $255.54 / $374.35	Professional		$169.25	$255.54	$374.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.94 / $82.16 / $130.97	Professional	26	$46.94	$82.16	$130.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.85 / $165.70 / $241.29	Professional	TC	$107.85	$165.70	$241.29
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 $155.36 / $293.33 / $915.52	Professional		$155.36	$293.33	$915.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.50 / $101.42 / $323.73	Professional	26	$54.50	$101.42	$323.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.80 / $195.40 / $591.79	Professional	TC	$101.80	$195.40	$591.79
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $281.20 / $394.57	Professional		$158.07	$281.20	$394.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.50 / $98.70 / $133.54	Professional	26	$54.50	$98.70	$133.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.57 / $191.20 / $261.02	Professional	TC	$103.57	$191.20	$261.02