Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.47 / $68.47 / $110.54	Facility	26	$68.47	$68.47	$110.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $137.94 / $238.19	Professional		$108.71	$137.94	$238.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $61.36 / $100.10	Professional	26	$49.65	$61.36	$100.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.15 / $69.47 / $180.05	Professional	TC	$51.15	$69.47	$180.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.23 / $305.08 / $319.95	Professional		$247.23	$305.08	$319.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.50 / $162.29 / $169.62	Professional	26	$131.50	$162.29	$169.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.72 / $142.81 / $149.76	Professional	TC	$115.72	$142.81	$149.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.09 / $77.09 / $77.09	Facility	26	$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $257.50 / $606.28	Professional		$131.38	$257.50	$606.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.08 / $111.51 / $152.19	Professional	26	$62.08	$111.51	$152.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.46 / $125.25 / $539.83	Professional	TC	$63.46	$125.25	$539.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $273.94 / $3,098.01	Professional		$150.66	$273.94	$3,098.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $124.86 / $636.41	Professional	26	$65.09	$124.86	$636.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.06 / $155.83 / $2,808.09	Professional	TC	$83.06	$155.83	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $254.65 / $438.56	Professional		$141.47	$254.65	$438.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $124.86 / $169.23	Professional	26	$68.23	$124.86	$169.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.90 / $139.43 / $215.92	Professional	TC	$71.90	$139.43	$215.92