Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $28.18 / $46.77	Facility	26	$19.95	$28.18	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $257.04	Professional		$66.07	$107.15	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $61.66	Professional	26	$23.99	$30.90	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $77.62 / $181.97	Professional	TC	$41.69	$77.62	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $263.03	Professional		$177.83	$234.42	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $70.79	Professional	26	$47.86	$63.10	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $173.78 / $190.55	Professional	TC	$131.83	$173.78	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $269.15	Professional		$100.00	$158.49	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $40.74 / $70.79	Professional	26	$23.44	$40.74	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $114.82 / $199.53	Professional	TC	$66.07	$114.82	$199.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $660.69	Professional		$91.20	$181.97	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $53.70 / $173.78	Professional	26	$27.54	$53.70	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $131.83 / $489.78	Professional	TC	$67.61	$131.83	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $251.19	Professional		$91.20	$173.78	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $48.98 / $72.44	Professional	26	$25.12	$48.98	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $125.89 / $181.97	Professional	TC	$66.07	$125.89	$181.97