Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.21 / $35.22 / $80.39	Facility	26	$35.21	$35.22	$80.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.36 / $219.65 / $325.00	Professional		$109.36	$219.65	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.26 / $48.16 / $149.40	Professional	26	$42.26	$48.16	$149.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.14 / $147.59 / $306.32	Professional	TC	$74.14	$147.59	$306.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.49 / $319.70 / $335.27	Professional		$253.49	$319.70	$335.27
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 $167.01 / $206.10 / $216.14	Professional	TC	$167.01	$206.10	$216.14
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 $193.22 / $280.39 / $486.25	Professional		$193.22	$280.39	$486.25
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 $131.44 / $197.04 / $379.96	Professional	TC	$131.44	$197.04	$379.96
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 $188.82 / $345.50 / $1,609.32	Professional		$188.82	$345.50	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $100.70 / $379.76	Professional	26	$51.25	$100.70	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $114.27 / $235.49 / $1,345.00	Professional	TC	$114.27	$235.49	$1,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $326.12 / $550.73	Professional		$158.58	$326.12	$550.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.39 / $92.25 / $125.43	Professional	26	$55.39	$92.25	$125.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.10 / $221.34 / $371.35	Professional	TC	$106.10	$221.34	$371.35