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 $162.18 / $239.88 / $398.11	Professional		$162.18	$239.88	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $60.26 / $134.90	Professional	26	$50.12	$60.26	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $177.83 / $338.84	Professional	TC	$125.89	$177.83	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $512.86	Professional		$346.74	$457.09	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $131.83 / $144.54	Professional	26	$100.00	$131.83	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $331.13 / $363.08	Professional	TC	$245.47	$331.13	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $602.56	Professional		$245.47	$380.19	$602.56
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 $177.83 / $275.42 / $467.74	Professional	TC	$177.83	$275.42	$467.74
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 $234.42 / $467.74 / $2,089.30	Professional		$234.42	$467.74	$2,089.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $112.20 / $380.19	Professional	26	$60.26	$112.20	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $363.08 / $1,737.80	Professional	TC	$173.78	$363.08	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $562.34	Professional		$234.42	$416.87	$562.34
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 $173.78 / $316.23 / $446.68	Professional	TC	$173.78	$316.23	$446.68