Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.39 / $29.39 / $47.20	Facility	26	$29.39	$29.39	$47.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $120.43 / $141.44	Professional		$90.73	$120.43	$141.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $27.18 / $34.13	Professional	26	$23.50	$27.18	$34.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $91.93 / $110.02	Professional	TC	$66.45	$91.93	$110.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $317.20 / $326.88	Professional		$240.62	$317.20	$326.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.58 / $67.34 / $70.63	Professional	26	$54.58	$67.34	$70.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.34 / $236.12 / $251.17	Professional	TC	$191.34	$236.12	$251.17
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 $114.43 / $195.00 / $298.16	Professional		$114.43	$195.00	$298.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.68 / $48.92 / $70.72	Professional	26	$27.68	$48.92	$70.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.18 / $150.72 / $232.40	Professional	TC	$84.18	$150.72	$232.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $211.71 / $873.78	Professional		$114.20	$211.71	$873.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.81 / $54.97 / $198.13	Professional	26	$28.81	$54.97	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.75 / $161.04 / $695.99	Professional	TC	$80.75	$161.04	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $204.38 / $303.08	Professional		$118.97	$204.38	$303.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.66 / $53.96 / $73.03	Professional	26	$31.66	$53.96	$73.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.02 / $146.69 / $214.72	Professional	TC	$88.02	$146.69	$214.72