Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.20 / $34.72 / $199.56	Facility	26	$29.20	$34.72	$199.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $126.16 / $168.46	Professional		$113.25	$126.16	$168.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $30.02 / $38.01	Professional	26	$28.85	$30.02	$38.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.40 / $96.14 / $127.82	Professional	TC	$84.40	$96.14	$127.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $143.50 / $197.05	Professional		$38.33	$143.50	$197.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.84 / $34.84 / $50.47	Facility	26	$34.84	$34.84	$50.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $136.66 / $209.91	Professional		$109.99	$136.66	$209.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.77 / $35.81 / $54.29	Professional	26	$29.77	$35.81	$54.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.51 / $100.84 / $158.44	Professional	TC	$83.51	$100.84	$158.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.74 / $161.97 / $161.97	Facility	26	$84.74	$161.97	$161.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $160.44 / $968.58	Professional		$135.29	$160.44	$968.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $41.24 / $227.63	Professional	26	$34.22	$41.24	$227.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.85 / $119.82 / $740.95	Professional	TC	$101.85	$119.82	$740.95
United Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $151.76 / $234.35	Professional		$135.29	$151.76	$234.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.44 / $40.03 / $58.87	Professional	26	$33.44	$40.03	$58.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.43 / $113.83 / $179.31	Professional	TC	$97.43	$113.83	$179.31