Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.57 / $40.57 / $65.25	Facility	26	$40.57	$40.57	$65.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $117.13 / $174.71	Professional		$101.04	$117.13	$174.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $39.04 / $107.10	Professional	26	$29.91	$39.04	$107.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.66 / $80.54 / $92.23	Professional	TC	$68.66	$80.54	$92.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.02 / $293.73 / $308.04	Professional		$238.02	$293.73	$308.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $92.50 / $96.68	Professional	26	$74.95	$92.50	$96.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.06 / $201.23 / $211.38	Professional	TC	$163.06	$201.23	$211.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.57 / $43.57 / $43.57	Facility	26	$43.57	$43.57	$43.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $185.24 / $308.66	Professional		$100.19	$185.24	$308.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $62.15 / $90.62	Professional	26	$37.31	$62.15	$90.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.87 / $128.40 / $210.63	Professional	TC	$62.87	$128.40	$210.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $223.81 / $812.81	Professional		$116.22	$223.81	$812.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.43 / $74.67 / $240.49	Professional	26	$39.43	$74.67	$240.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.80 / $149.13 / $572.32	Professional	TC	$77.80	$149.13	$572.32
United Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $212.89 / $304.64	Professional		$116.22	$212.89	$304.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $69.76 / $96.18	Professional	26	$38.36	$69.76	$96.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.84 / $147.27 / $203.62	Professional	TC	$80.84	$147.27	$203.62