Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.91 / $41.91 / $95.83	Facility	26	$41.91	$41.91	$95.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $171.00 / $274.81	Professional		$105.19	$171.00	$274.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.91 / $57.51 / $162.02	Professional	26	$41.91	$57.51	$162.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.28 / $102.55 / $214.94	Professional	TC	$63.28	$102.55	$214.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.99 / $336.74 / $353.15	Professional		$266.99	$336.74	$353.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.80 / $135.51 / $141.63	Professional	26	$109.80	$135.51	$141.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.06 / $201.23 / $211.03	Professional	TC	$163.06	$201.23	$211.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.44 / $64.44 / $64.44	Facility	26	$64.44	$64.44	$64.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $294.89 / $460.21	Professional		$195.74	$294.89	$460.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.38 / $103.54 / $144.07	Professional	26	$57.38	$103.54	$144.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.91 / $180.87 / $353.49	Professional	TC	$117.91	$180.87	$353.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $527.60 / $527.60 / $527.60	Facility	26	$527.60	$527.60	$527.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $300.56 / $1,561.56	Professional		$165.56	$300.56	$1,561.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $119.74 / $386.35	Professional	26	$60.99	$119.74	$386.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $99.70 / $181.28 / $1,649.00	Professional	TC	$99.70	$181.28	$1,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $292.55 / $377.47	Professional		$151.58	$292.55	$377.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $110.30 / $149.24	Professional	26	$60.99	$110.30	$149.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.59 / $163.15 / $269.33	Professional	TC	$90.59	$163.15	$269.33