Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.96 / $33.96 / $76.61	Facility	26	$33.96	$33.96	$76.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $136.72 / $221.87	Professional		$89.66	$136.72	$221.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.96 / $44.68 / $70.79	Professional	26	$33.96	$44.68	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.70 / $90.81 / $152.69	Professional	TC	$55.70	$90.81	$152.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.69 / $322.95 / $338.67	Professional		$261.69	$322.95	$338.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.11 / $108.73 / $113.65	Professional	26	$88.11	$108.73	$113.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.59 / $214.22 / $224.65	Professional	TC	$173.59	$214.22	$224.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $51.84	Facility	26	$51.84	$51.84	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.89 / $254.38 / $355.73	Professional		$189.89	$254.38	$355.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.06 / $83.74 / $116.51	Professional	26	$47.06	$83.74	$116.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.27 / $170.65 / $238.63	Professional	TC	$126.27	$170.65	$238.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $422.56 / $422.56 / $422.56	Facility	26	$422.56	$422.56	$422.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $291.54 / $1,035.22	Professional		$151.82	$291.54	$1,035.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.94 / $97.02 / $287.12	Professional	26	$48.94	$97.02	$287.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.19 / $194.52 / $780.77	Professional	TC	$107.19	$194.52	$780.77
United Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $269.20 / $366.41	Professional		$151.82	$269.20	$366.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.94 / $89.08 / $120.88	Professional	26	$48.94	$89.08	$120.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.05 / $179.85 / $292.62	Professional	TC	$107.05	$179.85	$292.62