Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.59 / $27.59 / $43.99	Facility	26	$27.59	$27.59	$43.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $99.84 / $129.86	Professional		$86.06	$99.84	$129.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $26.41 / $63.74	Professional	26	$24.64	$26.41	$63.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $73.22 / $96.03	Professional	TC	$61.40	$73.22	$96.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.41 / $259.66 / $271.39	Professional		$210.41	$259.66	$271.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.63 / $62.48 / $65.30	Professional	26	$50.63	$62.48	$65.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.78 / $197.18 / $206.10	Professional	TC	$159.78	$197.18	$206.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $171.03 / $282.02	Professional		$104.77	$171.03	$282.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $47.58 / $66.53	Professional	26	$30.20	$47.58	$66.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.56 / $130.04 / $216.54	Professional	TC	$74.56	$130.04	$216.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $189.20 / $692.04	Professional		$113.77	$189.20	$692.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.44 / $50.67 / $165.29	Professional	26	$29.44	$50.67	$165.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.79 / $130.16 / $526.74	Professional	TC	$80.79	$130.16	$526.74
United Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $161.94 / $258.17	Professional		$113.52	$161.94	$258.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $47.36 / $68.56	Professional	26	$28.15	$47.36	$68.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.64 / $123.49 / $193.24	Professional	TC	$73.64	$123.49	$193.24