Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $57.54 / $95.50	Facility	26	$40.74	$57.54	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $346.74	Professional		$120.23	$173.78	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $69.18 / $154.88	Professional	26	$50.12	$69.18	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $112.20 / $275.42	Professional	TC	$72.44	$112.20	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $354.81	Professional		$251.19	$323.59	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $144.54	Professional	26	$102.33	$128.82	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $190.55 / $213.80	Professional	TC	$151.36	$190.55	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $436.52	Professional		$162.18	$263.03	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $83.18 / $144.54	Professional	26	$47.86	$83.18	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $162.18 / $275.42	Professional	TC	$93.33	$162.18	$275.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $1,548.82	Professional		$151.36	$275.42	$1,548.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $112.20 / $389.05	Professional	26	$58.88	$112.20	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $169.82 / $1,659.59	Professional	TC	$91.20	$169.82	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $363.08	Professional		$151.36	$263.03	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $100.00 / $151.36	Professional	26	$51.29	$100.00	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $162.18 / $257.04	Professional	TC	$91.20	$162.18	$257.04