Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.17 / $35.17 / $56.52	Facility	26	$35.17	$35.17	$56.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $107.06 / $126.15	Professional		$91.59	$107.06	$126.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.53 / $33.78 / $90.78	Professional	26	$29.53	$33.78	$90.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.97 / $74.52 / $130.10	Professional	TC	$62.97	$74.52	$130.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.04 / $262.91 / $275.70	Professional		$213.04	$262.91	$275.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $80.33 / $83.97	Professional	26	$65.09	$80.33	$83.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.94 / $182.58 / $191.48	Professional	TC	$147.94	$182.58	$191.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $173.54 / $282.74	Professional		$96.87	$173.54	$282.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $53.90 / $85.34	Professional	26	$30.60	$53.90	$85.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $119.64 / $193.22	Professional	TC	$67.48	$119.64	$193.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $207.42 / $730.62	Professional		$104.91	$207.42	$730.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $69.76 / $210.44	Professional	26	$35.45	$69.76	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.97 / $140.84 / $520.19	Professional	TC	$70.97	$140.84	$520.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $186.47 / $249.64	Professional		$104.91	$186.47	$249.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $64.17 / $87.73	Professional	26	$35.72	$64.17	$87.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.70 / $136.54 / $188.10	Professional	TC	$74.70	$136.54	$188.10