Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $44.67 / $74.13	Facility	26	$42.66	$44.67	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $229.09	Professional		$109.65	$134.90	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $66.07 / $117.49	Professional	26	$31.62	$66.07	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $93.33 / $147.91	Professional	TC	$75.86	$93.33	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $354.81	Professional		$239.88	$316.23	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $107.15	Professional	26	$74.13	$97.72	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $218.78 / $245.47	Professional	TC	$165.96	$218.78	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $338.84	Professional		$112.20	$208.93	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $63.10 / $97.72	Professional	26	$33.11	$63.10	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $147.91 / $239.88	Professional	TC	$75.86	$147.91	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $933.25	Professional		$128.82	$239.88	$933.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $69.18 / $269.15	Professional	26	$41.69	$69.18	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $169.82 / $660.69	Professional	TC	$89.13	$169.82	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $338.84	Professional		$117.49	$218.78	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $58.88 / $109.65	Professional	26	$36.31	$58.88	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $154.88 / $223.87	Professional	TC	$81.28	$154.88	$223.87