Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.12 / $30.12 / $48.65	Facility	26	$30.12	$30.12	$48.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $93.19 / $104.74	Professional		$81.51	$93.19	$104.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $27.51 / $69.42	Professional	26	$19.89	$27.51	$69.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.74 / $66.94 / $76.95	Professional	TC	$56.74	$66.94	$76.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.37 / $233.70 / $245.08	Professional		$189.37	$233.70	$245.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.89 / $68.97 / $72.09	Professional	26	$55.89	$68.97	$72.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.47 / $164.72 / $172.74	Professional	TC	$133.47	$164.72	$172.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $147.68 / $246.30	Professional		$75.84	$147.68	$246.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $43.24 / $74.00	Professional	26	$25.14	$43.24	$74.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.71 / $106.90 / $172.30	Professional	TC	$50.71	$106.90	$172.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $177.42 / $648.50	Professional		$92.91	$177.42	$648.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.84 / $55.22 / $180.32	Professional	26	$27.84	$55.22	$180.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.12 / $129.93 / $468.12	Professional	TC	$67.12	$129.93	$468.12
United Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $171.75 / $244.03	Professional		$97.58	$171.75	$244.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.65 / $46.40 / $71.55	Professional	26	$27.65	$46.40	$71.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.52 / $124.08 / $168.95	Professional	TC	$65.52	$124.08	$168.95