Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $57.54 / $97.72	Facility	26	$41.69	$57.54	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $457.09	Professional		$204.17	$281.84	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $60.26 / $131.83	Professional	26	$50.12	$60.26	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $346.74	Professional	TC	$158.49	$218.78	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $660.69	Professional		$446.68	$588.84	$660.69
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 $346.74 / $457.09 / $512.86	Professional	TC	$346.74	$457.09	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $691.83	Professional		$281.84	$436.52	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $85.11 / $147.91	Professional	26	$48.98	$85.11	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $575.44	Professional	TC	$218.78	$363.08	$575.44
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 $275.42 / $489.78 / $2,187.76	Professional		$275.42	$489.78	$2,187.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $112.20 / $436.52	Professional	26	$60.26	$112.20	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $380.19 / $1,905.46	Professional	TC	$213.80	$380.19	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $660.69	Professional		$275.42	$457.09	$660.69
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 $213.80 / $363.08 / $524.81	Professional	TC	$213.80	$363.08	$524.81