Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.40 / $38.40 / $61.18	Facility	26	$38.40	$38.40	$61.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $156.66 / $218.58	Professional		$136.53	$156.66	$218.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $36.59 / $96.07	Professional	26	$32.57	$36.59	$96.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.97 / $119.45 / $171.99	Professional	TC	$101.97	$119.45	$171.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $355.41 / $372.72	Professional		$288.00	$355.41	$372.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $86.82 / $90.75	Professional	26	$70.34	$86.82	$90.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.64 / $268.58 / $281.66	Professional	TC	$217.64	$268.58	$281.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $247.55 / $386.79	Professional		$133.38	$247.55	$386.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.94 / $66.61 / $91.68	Professional	26	$36.94	$66.61	$91.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.38 / $181.58 / $295.12	Professional	TC	$97.38	$181.58	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $286.64 / $968.58	Professional		$159.16	$286.64	$968.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $70.67 / $227.63	Professional	26	$39.34	$70.67	$227.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $119.82 / $218.05 / $740.95	Professional	TC	$119.82	$218.05	$740.95
United Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $270.73 / $397.06	Professional		$159.16	$270.73	$397.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $65.23 / $90.21	Professional	26	$39.34	$65.23	$90.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.82 / $208.44 / $301.45	Professional	TC	$119.82	$208.44	$301.45