Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $58.88 / $97.72	Facility	26	$41.69	$58.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $446.68	Professional		$162.18	$234.42	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $165.96	Professional	26	$51.29	$69.18	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $154.88 / $371.54	Professional	TC	$107.15	$154.88	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $446.68	Professional		$302.00	$398.11	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $131.83 / $147.91	Professional	26	$100.00	$131.83	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $269.15 / $295.12	Professional	TC	$199.53	$269.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $549.54	Professional		$218.78	$331.13	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $85.11 / $147.91	Professional	26	$50.12	$85.11	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $223.87 / $398.11	Professional	TC	$144.54	$223.87	$398.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $1,905.46	Professional		$199.53	$398.11	$1,905.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $112.20 / $436.52	Professional	26	$58.88	$112.20	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $288.40 / $1,949.84	Professional	TC	$138.04	$288.40	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $489.78	Professional		$199.53	$363.08	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $102.33 / $154.88	Professional	26	$52.48	$102.33	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $257.04 / $346.74	Professional	TC	$138.04	$257.04	$346.74