Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.96 / $49.96 / $80.39	Facility	26	$49.96	$49.96	$80.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $124.23 / $193.66	Professional		$111.35	$124.23	$193.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $49.64 / $129.94	Professional	26	$42.60	$49.64	$129.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $84.76 / $241.19	Professional	TC	$65.98	$84.76	$241.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.99 / $283.19 / $296.98	Professional		$221.99	$283.19	$296.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.05 / $113.60 / $118.74	Professional	26	$92.05	$113.60	$118.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.41 / $169.59 / $177.85	Professional	TC	$137.41	$169.59	$177.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.62 / $53.62 / $53.62	Facility	26	$53.62	$53.62	$53.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $221.33 / $306.47	Professional		$118.25	$221.33	$306.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.09 / $87.54 / $120.49	Professional	26	$53.09	$87.54	$120.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.56 / $131.68 / $188.76	Professional	TC	$69.56	$131.68	$188.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $225.34 / $757.96	Professional		$124.51	$225.34	$757.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.07 / $99.07 / $252.66	Professional	26	$61.07	$99.07	$252.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.79 / $140.53 / $470.82	Professional	TC	$80.79	$140.53	$470.82
United Facility/Professional Professional Modifier Low / Median / High Price $124.96 / $209.76 / $279.70	Professional		$124.96	$209.76	$279.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.89 / $85.60 / $117.59	Professional	26	$50.89	$85.60	$117.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $125.58 / $165.86	Professional	TC	$73.62	$125.58	$165.86