Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $34.67	Facility	26	$19.95	$19.95	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $181.97	Professional		$72.44	$91.20	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $45.71	Professional	26	$16.98	$19.95	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $72.44 / $138.04	Professional	TC	$54.95	$72.44	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $251.19	Professional		$173.78	$229.09	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $51.29	Professional	26	$34.67	$46.77	$51.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $181.97 / $199.53	Professional	TC	$138.04	$181.97	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $234.42	Professional		$75.86	$151.36	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.20 / $51.29	Professional	26	$18.20	$30.20	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $120.23 / $181.97	Professional	TC	$61.66	$120.23	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $630.96	Professional		$89.13	$151.36	$630.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $38.02 / $128.82	Professional	26	$20.42	$38.02	$128.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $114.82 / $512.86	Professional	TC	$66.07	$114.82	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $229.09	Professional		$85.11	$141.25	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $33.11 / $52.48	Professional	26	$20.42	$33.11	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $109.65 / $173.78	Professional	TC	$64.57	$109.65	$173.78