Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.90 / $27.90 / $64.08	Facility	26	$27.90	$27.90	$64.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $83.73 / $325.00	Professional		$50.50	$83.73	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $37.78 / $98.00	Professional	26	$27.90	$37.78	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.61 / $49.65 / $104.85	Professional	TC	$22.61	$49.65	$104.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $193.12 / $201.85	Professional		$153.12	$193.12	$201.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.64 / $90.88 / $94.99	Professional	26	$73.64	$90.88	$94.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.85 / $100.70 / $106.86	Professional	TC	$82.85	$100.70	$106.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.19 / $43.19 / $43.19	Facility	26	$43.19	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $160.13 / $230.77	Professional		$81.44	$160.13	$230.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.67 / $69.78 / $96.61	Professional	26	$39.67	$69.78	$96.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.82 / $81.20 / $158.27	Professional	TC	$40.82	$81.20	$158.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $143.04 / $1,002.61	Professional		$73.26	$143.04	$1,002.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $76.19 / $238.39	Professional	26	$40.78	$76.19	$238.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $62.84 / $780.59	Professional	TC	$32.47	$62.84	$780.59
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $129.28 / $184.85	Professional		$73.26	$129.28	$184.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $72.62 / $99.22	Professional	26	$40.78	$72.62	$99.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $59.70 / $124.66	Professional	TC	$32.47	$59.70	$124.66