Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.25 / $38.25 / $87.68	Facility	26	$38.25	$38.25	$87.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $176.66 / $325.00	Professional		$102.54	$176.66	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.70 / $51.10 / $140.40	Professional	26	$42.70	$51.10	$140.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.29 / $107.34 / $227.00	Professional	TC	$64.29	$107.34	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.56 / $328.63 / $344.64	Professional		$260.56	$328.63	$344.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.60 / $124.15 / $129.77	Professional	26	$100.60	$124.15	$129.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.70 / $204.48 / $214.44	Professional	TC	$165.70	$204.48	$214.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.04 / $59.04 / $59.04	Facility	26	$59.04	$59.04	$59.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.75 / $288.20 / $463.27	Professional		$190.75	$288.20	$463.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $95.49 / $131.84	Professional	26	$52.75	$95.49	$131.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.77 / $184.97 / $367.78	Professional	TC	$119.77	$184.97	$367.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $482.96 / $482.96 / $482.96	Facility	26	$482.96	$482.96	$482.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $294.16 / $1,593.12	Professional		$161.79	$294.16	$1,593.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $109.30 / $325.83	Professional	26	$54.91	$109.30	$325.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.03 / $184.04 / $1,318.35	Professional	TC	$92.03	$184.04	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $274.89 / $441.50	Professional		$161.79	$274.89	$441.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.80 / $99.72 / $136.26	Professional	26	$52.80	$99.72	$136.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.03 / $172.88 / $322.11	Professional	TC	$92.03	$172.88	$322.11