Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.32 / $42.32 / $42.32	Facility	26	$42.32	$42.32	$42.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $191.60 / $214.84	Professional		$145.00	$191.60	$214.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.09 / $50.01 / $52.80	Professional	26	$35.09	$50.01	$52.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.90 / $141.09 / $162.03	Professional	TC	$109.90	$141.09	$162.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $263.93 / $289.80	Professional		$65.22	$263.93	$289.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.22 / $84.22 / $84.22	Facility	26	$84.22	$84.22	$84.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $208.36 / $341.77	Professional		$171.50	$208.36	$341.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $52.26 / $88.02	Professional	26	$44.17	$52.26	$88.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.01 / $150.66 / $253.75	Professional	TC	$125.01	$150.66	$253.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.98 / $234.66 / $234.66	Facility	26	$122.98	$234.66	$234.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.06 / $240.02 / $1,374.92	Professional		$199.06	$240.02	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $57.02 / $330.16	Professional	26	$48.47	$57.02	$330.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $152.16 / $179.01 / $1,044.76	Professional	TC	$152.16	$179.01	$1,044.76
United Facility/Professional Professional Modifier Low / Median / High Price $199.06 / $236.03 / $452.23	Professional		$199.06	$236.03	$452.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $57.02 / $106.41	Professional	26	$48.47	$57.02	$106.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.90 / $179.01 / $306.77	Professional	TC	$147.90	$179.01	$306.77