Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.12 / $52.12 / $83.30	Facility	26	$52.12	$52.12	$83.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $146.46 / $185.74	Professional		$109.45	$146.46	$185.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $47.62 / $132.19	Professional	26	$29.91	$47.62	$132.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $99.10 / $130.56	Professional	TC	$79.54	$99.10	$130.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $366.77 / $384.64	Professional		$297.20	$366.77	$384.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.34 / $117.66 / $122.98	Professional	26	$95.34	$117.66	$122.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.86 / $249.11 / $261.24	Professional	TC	$201.86	$249.11	$261.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Facility	26	$55.98	$55.98	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $233.86 / $399.02	Professional		$114.51	$233.86	$399.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $72.56 / $116.12	Professional	26	$37.31	$72.56	$116.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.52 / $163.06 / $277.70	Professional	TC	$76.52	$163.06	$277.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $287.23 / $1,019.78	Professional		$153.91	$287.23	$1,019.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.59 / $88.60 / $310.80	Professional	26	$41.59	$88.60	$310.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $220.63 / $708.98	Professional	TC	$103.58	$220.63	$708.98
United Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $275.07 / $390.97	Professional		$148.80	$275.07	$390.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $80.40 / $133.13	Professional	26	$38.36	$80.40	$133.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $197.40 / $261.02	Professional	TC	$103.58	$197.40	$261.02