Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.36 / $87.67 / $119.02	Facility	26	$39.36	$87.67	$119.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $111.21 / $190.69	Professional		$88.50	$111.21	$190.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.44 / $26.87 / $42.69	Professional	26	$20.44	$26.87	$42.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $82.78 / $125.53	Professional	TC	$66.45	$82.78	$125.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $109.21 / $136.51	Professional		$95.56	$109.21	$136.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.25 / $22.00 / $28.88	Professional	26	$19.25	$22.00	$28.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.31 / $87.21 / $109.01	Professional	TC	$76.31	$87.21	$109.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $32.15 / $32.15	Facility	26	$32.15	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $134.10 / $227.82	Professional		$95.12	$134.10	$227.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.47 / $32.54 / $57.27	Professional	26	$23.47	$32.54	$57.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.36 / $98.30 / $165.19	Professional	TC	$69.36	$98.30	$165.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.66 / $125.66 / $125.66	Facility	26	$125.66	$125.66	$125.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $125.23 / $873.78	Professional		$96.25	$125.23	$873.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $30.32 / $198.13	Professional	26	$26.15	$30.32	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.00 / $94.91 / $695.99	Professional	TC	$72.00	$94.91	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $125.23 / $198.26	Professional		$95.58	$125.23	$198.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $30.32 / $57.05	Professional	26	$26.15	$30.32	$57.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.00 / $94.91 / $143.99	Professional	TC	$70.00	$94.91	$143.99