Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $61.66 / $102.33	Facility	26	$43.65	$61.66	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $416.87	Professional		$181.97	$257.04	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $128.82	Professional	26	$50.12	$61.66	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $169.82 / $323.59	Professional	TC	$125.89	$169.82	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $512.86	Professional		$346.74	$467.74	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $138.04 / $151.36	Professional	26	$104.71	$138.04	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $323.59 / $363.08	Professional	TC	$245.47	$323.59	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $660.69	Professional		$251.19	$380.19	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $89.13 / $154.88	Professional	26	$51.29	$89.13	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $275.42 / $489.78	Professional	TC	$173.78	$275.42	$489.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $2,290.87	Professional		$234.42	$467.74	$2,290.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $117.49 / $524.81	Professional	26	$61.66	$117.49	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $354.81 / $2,398.83	Professional	TC	$169.82	$354.81	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $562.34	Professional		$234.42	$416.87	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $107.15 / $158.49	Professional	26	$54.95	$107.15	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $316.23 / $436.52	Professional	TC	$169.82	$316.23	$436.52