Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.78 / $40.78 / $93.49	Facility	26	$40.78	$40.78	$93.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $181.53 / $338.16	Professional		$136.90	$181.53	$338.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $56.11 / $126.00	Professional	26	$40.78	$56.11	$126.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.12 / $141.69 / $279.66	Professional	TC	$96.12	$141.69	$279.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.36 / $411.39 / $431.43	Professional		$333.36	$411.39	$431.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.18 / $132.26 / $138.25	Professional	26	$107.18	$132.26	$138.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.19 / $279.13 / $292.72	Professional	TC	$226.19	$279.13	$292.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $332.03 / $509.00	Professional		$243.52	$332.03	$509.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $101.68 / $140.57	Professional	26	$55.83	$101.68	$140.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.19 / $247.63 / $396.00	Professional	TC	$175.19	$247.63	$396.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.17 / $432.57 / $1,638.03	Professional		$223.17	$432.57	$1,638.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.49 / $116.12 / $376.34	Professional	26	$58.49	$116.12	$376.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.00 / $304.61 / $1,335.34	Professional	TC	$165.00	$304.61	$1,335.34
United Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $387.04 / $492.04	Professional		$204.91	$387.04	$492.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.49 / $106.32 / $145.30	Professional	26	$58.49	$106.32	$145.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.80 / $288.13 / $358.03	Professional	TC	$139.80	$288.13	$358.03