Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $34.38	Facility	26	$20.92	$20.92	$34.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $86.40 / $104.75	Professional		$73.73	$86.40	$104.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $19.34 / $31.24	Professional	26	$17.07	$19.34	$31.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $66.06 / $84.17	Professional	TC	$55.57	$66.06	$84.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $239.37 / $250.19	Professional		$193.97	$239.37	$250.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.45 / $48.69 / $50.88	Professional	26	$39.45	$48.69	$50.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.52 / $190.69 / $199.97	Professional	TC	$154.52	$190.69	$199.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.72 / $22.72 / $22.72	Facility	26	$22.72	$22.72	$22.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $151.24 / $244.07	Professional		$84.39	$151.24	$244.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $32.46 / $51.51	Professional	26	$20.09	$32.46	$51.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.98 / $121.29 / $192.40	Professional	TC	$61.98	$121.29	$192.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $163.33 / $637.19	Professional		$89.08	$163.33	$637.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $38.93 / $127.82	Professional	26	$20.42	$38.93	$127.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.54 / $125.04 / $509.36	Professional	TC	$66.54	$125.04	$509.36
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $161.96 / $233.78	Professional		$94.55	$161.96	$233.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $38.32 / $52.17	Professional	26	$21.29	$38.32	$52.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.59 / $120.98 / $174.83	Professional	TC	$69.59	$120.98	$174.83