Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $34.67 / $56.23	Facility	26	$33.11	$34.67	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $229.09	Professional		$91.20	$109.65	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $35.48 / $91.20	Professional	26	$28.18	$35.48	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $77.62 / $234.42	Professional	TC	$61.66	$77.62	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $275.42	Professional		$190.55	$251.19	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $85.11	Professional	26	$57.54	$75.86	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $173.78 / $194.98	Professional	TC	$131.83	$173.78	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $269.15	Professional		$91.20	$165.96	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $48.98 / $85.11	Professional	26	$30.20	$48.98	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $117.49 / $186.21	Professional	TC	$61.66	$117.49	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $724.44	Professional		$104.71	$194.98	$724.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $66.07 / $208.93	Professional	26	$33.88	$66.07	$208.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $134.90 / $524.81	Professional	TC	$70.79	$134.90	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $269.15	Professional		$104.71	$173.78	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $56.23 / $89.13	Professional	26	$33.88	$56.23	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $123.03 / $177.83	Professional	TC	$70.79	$123.03	$177.83