Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $47.86 / $77.62	Facility	26	$45.71	$47.86	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $234.42	Professional		$74.13	$102.33	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $40.74 / $79.43	Professional	26	$15.85	$40.74	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $58.88 / $177.83	Professional	TC	$41.69	$58.88	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $245.47	Professional		$173.78	$223.87	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $117.49	Professional	26	$83.18	$104.71	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $117.49 / $128.82	Professional	TC	$91.20	$117.49	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $512.86	Professional		$75.86	$181.97	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $60.26 / $104.71	Professional	26	$20.89	$60.26	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $97.72 / $416.87	Professional	TC	$44.67	$97.72	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $2,884.03	Professional		$104.71	$181.97	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $50.12 / $426.58	Professional	26	$20.89	$50.12	$426.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $125.89 / $2,818.38	Professional	TC	$57.54	$125.89	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $338.84	Professional		$104.71	$173.78	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $46.77 / $114.82	Professional	26	$19.05	$46.77	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $112.20 / $229.09	Professional	TC	$60.26	$112.20	$229.09