Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.04 / $29.04 / $46.31	Facility	26	$29.04	$29.04	$46.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $79.73 / $127.89	Professional		$53.77	$79.73	$127.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $27.36 / $75.65	Professional	26	$23.46	$27.36	$75.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.44 / $29.43 / $39.86	Professional	52	$24.44	$29.43	$39.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.64 / $55.88 / $91.93	Professional	TC	$27.64	$55.88	$91.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $141.13 / $147.57	Professional		$114.41	$141.13	$147.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.26 / $65.73 / $68.70	Professional	26	$53.26	$65.73	$68.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.15 / $75.11 / $78.87	Professional	TC	$61.15	$75.11	$78.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.97 / $30.97 / $30.97	Facility	26	$30.97	$30.97	$30.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $109.75 / $161.82	Professional		$82.67	$109.75	$161.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.47 / $50.12 / $68.98	Professional	26	$29.47	$50.12	$68.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.71 / $59.63 / $99.33	Professional	TC	$47.71	$59.63	$99.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $159.47 / $447.95	Professional		$80.48	$159.47	$447.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $53.33 / $265.83	Professional	26	$29.59	$53.33	$265.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.89 / $101.40 / $398.99	Professional	TC	$50.89	$101.40	$398.99
United Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $135.56 / $180.33	Professional		$80.48	$135.56	$180.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $48.53 / $68.43	Professional	26	$29.59	$48.53	$68.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.59 / $91.60 / $124.56	Professional	TC	$42.59	$91.60	$124.56