Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.22 / $35.22 / $80.39	Facility	26	$35.22	$35.22	$80.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $220.81 / $325.00	Professional		$109.87	$220.81	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.43 / $46.89 / $147.74	Professional	26	$42.43	$46.89	$147.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.65 / $148.06 / $227.00	Professional	TC	$74.65	$148.06	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.38 / $321.33 / $336.98	Professional		$260.38	$321.33	$336.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.05 / $113.60 / $118.74	Professional	26	$92.05	$113.60	$118.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $168.33 / $207.72 / $217.85	Professional	TC	$168.33	$207.72	$217.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $281.80 / $488.11	Professional		$197.99	$281.80	$488.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $87.54 / $124.00	Professional	26	$49.68	$87.54	$124.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $132.46 / $199.35 / $383.10	Professional	TC	$132.46	$199.35	$383.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $353.78 / $1,609.32	Professional		$189.68	$353.78	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.75 / $107.86 / $379.76	Professional	26	$56.75	$107.86	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $128.18 / $238.09 / $1,331.00	Professional	TC	$128.18	$238.09	$1,331.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $313.92 / $553.25	Professional		$158.07	$313.92	$553.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.92 / $92.71 / $134.59	Professional	26	$55.92	$92.71	$134.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.82 / $223.72 / $373.87	Professional	TC	$106.82	$223.72	$373.87