Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.27 / $94.27 / $153.05	Facility	26	$94.27	$94.27	$153.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $174.38 / $299.29	Professional		$138.79	$174.38	$299.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $79.45 / $94.27	Professional	26	$56.82	$79.45	$94.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.40 / $80.11 / $232.83	Professional	TC	$60.40	$80.11	$232.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.38 / $376.72 / $413.03	Professional		$296.38	$376.72	$413.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.50 / $221.52 / $231.53	Professional	26	$179.50	$221.52	$231.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.71 / $173.65 / $182.10	Professional	TC	$140.71	$173.65	$182.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $105.26	Facility	26	$105.26	$105.26	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $336.52 / $712.69	Professional		$169.57	$336.52	$712.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.58 / $131.44 / $226.14	Professional	26	$71.58	$131.44	$226.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.15 / $153.80 / $561.94	Professional	TC	$71.15	$153.80	$561.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.18 / $371.32 / $3,140.08	Professional		$205.18	$371.32	$3,140.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $172.80 / $681.88	Professional	26	$75.84	$172.80	$681.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $96.58 / $221.99 / $2,808.09	Professional	TC	$96.58	$221.99	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $354.41 / $435.80	Professional		$194.93	$354.41	$435.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $126.40 / $233.70	Professional	26	$68.23	$126.40	$233.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.28 / $172.66 / $269.44	Professional	TC	$86.28	$172.66	$269.44