Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.92 / $42.92 / $98.15	Facility	26	$42.92	$42.92	$98.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $183.63 / $347.11	Professional		$138.03	$183.63	$347.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $58.50 / $98.00	Professional	26	$42.92	$58.50	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.11 / $124.71 / $285.86	Professional	TC	$95.11	$124.71	$285.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $396.83 / $436.54	Professional		$145.03	$396.83	$436.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.43 / $141.13 / $145.03	Professional	26	$112.43	$141.13	$145.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.55 / $277.51 / $291.02	Professional	TC	$246.55	$277.51	$291.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $365.07 / $583.19	Professional		$246.11	$365.07	$583.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.92 / $106.02 / $147.56	Professional	26	$58.92	$106.02	$147.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.70 / $266.47 / $474.00	Professional	TC	$173.70	$266.47	$474.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $540.32 / $540.32 / $540.32	Facility	26	$540.32	$540.32	$540.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.47 / $437.34 / $1,882.38	Professional		$231.47	$437.34	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.88 / $116.49 / $434.24	Professional	26	$60.88	$116.49	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $163.26 / $303.95 / $1,576.92	Professional	TC	$163.26	$303.95	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $383.09 / $694.96	Professional		$207.31	$383.09	$694.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.94 / $110.99 / $152.86	Professional	26	$59.94	$110.99	$152.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.01 / $285.11 / $358.02	Professional	TC	$139.01	$285.11	$358.02