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 $138.29 / $213.94 / $347.11	Professional		$138.29	$213.94	$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 $95.36 / $141.28 / $285.48	Professional	TC	$95.36	$141.28	$285.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.63 / $417.89 / $438.24	Professional		$338.63	$417.89	$438.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.43 / $138.75 / $145.03	Professional	26	$112.43	$138.75	$145.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.19 / $279.13 / $292.72	Professional	TC	$226.19	$279.13	$292.72
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 $247.10 / $366.48 / $583.19	Professional		$247.10	$366.48	$583.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.92 / $106.64 / $147.56	Professional	26	$58.92	$106.64	$147.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.07 / $267.24 / $474.00	Professional	TC	$174.07	$267.24	$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 $230.92 / $436.66 / $1,882.38	Professional		$230.92	$436.66	$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 $163.69 / $303.32 / $1,906.00	Professional	TC	$163.69	$303.32	$1,906.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.69 / $390.69 / $496.85	Professional		$195.69	$390.69	$496.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $115.12 / $156.83	Professional	26	$62.44	$115.12	$156.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.41 / $285.87 / $477.44	Professional	TC	$139.41	$285.87	$477.44