Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.51 / $476.30 / $476.30	Facility		$98.51	$476.30	$476.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.42 / $16.42 / $26.50	Facility	26	$16.42	$16.42	$26.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $97.94 / $111.33	Professional		$81.59	$97.94	$111.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $15.90 / $56.96	Professional	26	$13.64	$15.90	$56.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $82.10 / $95.43	Professional	TC	$67.40	$82.10	$95.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $246.67 / $258.69	Professional		$199.89	$246.67	$258.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $35.58 / $39.01	Professional	26	$29.60	$35.58	$39.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.64 / $209.35 / $220.49	Professional	TC	$169.64	$209.35	$220.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.32 / $116.32 / $116.32	Facility		$116.32	$116.32	$116.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $156.31 / $241.10	Professional		$82.13	$156.31	$241.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $28.55 / $39.54	Professional	26	$16.27	$28.55	$39.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.36 / $133.47 / $204.01	Professional	TC	$68.36	$133.47	$204.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $147.03 / $180.11	Facility		$94.35	$147.03	$180.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $170.12 / $687.89	Professional		$93.50	$170.12	$687.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $32.84 / $150.00	Professional	26	$16.60	$32.84	$150.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.83 / $140.40 / $591.79	Professional	TC	$73.83	$140.40	$591.79
United Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $164.84 / $244.00	Professional		$90.66	$164.84	$244.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $30.06 / $40.98	Professional	26	$16.82	$30.06	$40.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.18 / $140.40 / $207.27	Professional	TC	$78.18	$140.40	$207.27