Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $18.20 / $30.20	Facility	26	$16.98	$18.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $151.36	Professional		$58.88	$74.13	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $60.26	Professional	26	$14.13	$16.98	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $57.54 / $114.82	Professional	TC	$44.67	$57.54	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $204.17	Professional		$141.25	$186.21	$204.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $43.65	Professional	26	$29.51	$39.81	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $144.54 / $162.18	Professional	TC	$109.65	$144.54	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $194.98	Professional		$64.57	$123.03	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $25.12 / $43.65	Professional	26	$15.85	$25.12	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $97.72 / $151.36	Professional	TC	$48.98	$97.72	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $512.86	Professional		$74.13	$128.82	$512.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $31.62 / $109.65	Professional	26	$17.78	$31.62	$109.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $95.50 / $398.11	Professional	TC	$54.95	$95.50	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $190.55	Professional		$72.44	$120.23	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $29.51 / $46.77	Professional	26	$17.78	$29.51	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $91.20 / $144.54	Professional	TC	$52.48	$91.20	$144.54