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 / $220.22 / $325.00	Professional		$109.87	$220.22	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $48.16 / $148.50	Professional	26	$39.29	$48.16	$148.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.65 / $147.47 / $227.00	Professional	TC	$74.65	$147.47	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $320.52 / $336.13	Professional		$259.72	$320.52	$336.13
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 $167.67 / $206.91 / $216.99	Professional	TC	$167.67	$206.91	$216.99
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 $193.97 / $281.08 / $486.87	Professional		$193.97	$281.08	$486.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $87.54 / $122.42	Professional	26	$49.68	$87.54	$122.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.94 / $198.58 / $382.06	Professional	TC	$131.94	$198.58	$382.06
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 / $346.50 / $1,609.32	Professional		$189.68	$346.50	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $95.67 / $379.76	Professional	26	$51.25	$95.67	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $128.18 / $236.77 / $1,318.35	Professional	TC	$128.18	$236.77	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $309.20 / $394.67	Professional		$158.07	$309.20	$394.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $92.23 / $125.43	Professional	26	$51.25	$92.23	$125.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.78 / $206.16 / $292.92	Professional	TC	$110.78	$206.16	$292.92