Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $47.86 / $81.28	Facility	26	$34.67	$47.86	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $354.81	Professional		$123.03	$181.97	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $61.66 / $147.91	Professional	26	$41.69	$61.66	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $112.20 / $263.03	Professional	TC	$77.62	$112.20	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $338.84	Professional		$229.09	$309.03	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $120.23	Professional	26	$81.28	$107.15	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $199.53 / $218.78	Professional	TC	$147.91	$199.53	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $446.68	Professional		$165.96	$251.19	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $70.79 / $120.23	Professional	26	$40.74	$70.79	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $165.96 / $295.12	Professional	TC	$107.15	$165.96	$295.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $1,621.81	Professional		$158.49	$316.23	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $93.33 / $380.19	Professional	26	$51.29	$93.33	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $223.87 / $1,318.26	Professional	TC	$107.15	$223.87	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $380.19	Professional		$158.49	$281.84	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $83.18 / $125.89	Professional	26	$46.77	$83.18	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $199.53 / $281.84	Professional	TC	$107.15	$199.53	$281.84