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 $69.23 / $80.50 / $88.55	Professional		$69.23	$80.50	$88.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.53 / $33.78 / $76.54	Professional	26	$29.53	$33.78	$76.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.61 / $47.97 / $53.82	Professional	TC	$40.61	$47.97	$53.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $197.99 / $207.63	Professional		$160.43	$197.99	$207.63
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 $95.34 / $117.66 / $123.51	Professional	TC	$95.34	$117.66	$123.51
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 $72.76 / $131.18 / $213.67	Professional		$72.76	$131.18	$213.67
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 $43.37 / $77.28 / $124.15	Professional	TC	$43.37	$77.28	$124.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $157.26 / $546.16	Professional		$79.54	$157.26	$546.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.28 / $66.58 / $210.44	Professional	26	$34.28	$66.58	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.60 / $90.68 / $335.78	Professional	TC	$45.60	$90.68	$335.78
United Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $148.99 / $208.97	Professional		$83.73	$148.99	$208.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $64.17 / $87.74	Professional	26	$35.72	$64.17	$87.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $85.91 / $121.23	Professional	TC	$48.00	$85.91	$121.23