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 / $80.95	Facility	26	$49.96	$49.96	$80.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $143.01 / $224.11	Professional		$126.60	$143.01	$224.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $49.64 / $130.83	Professional	26	$42.60	$49.64	$130.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.13 / $99.56 / $368.10	Professional	TC	$87.13	$99.56	$368.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $326.20 / $342.09	Professional		$264.33	$326.20	$342.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.71 / $114.41 / $119.58	Professional	26	$92.71	$114.41	$119.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $211.78 / $222.10	Professional	TC	$171.62	$211.78	$222.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	26	$53.96	$53.96	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $237.00 / $353.62	Professional		$144.49	$237.00	$353.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.68 / $88.18 / $121.36	Professional	26	$52.68	$88.18	$121.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.57 / $157.24 / $232.25	Professional	TC	$90.57	$157.24	$232.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $259.94 / $872.98	Professional		$144.29	$259.94	$872.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.65 / $98.98 / $262.19	Professional	26	$60.65	$98.98	$262.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.94 / $178.35 / $574.48	Professional	TC	$95.94	$178.35	$574.48
United Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $245.50 / $319.58	Professional		$144.29	$245.50	$319.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.18 / $84.93 / $117.59	Professional	26	$50.18	$84.93	$117.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.66 / $156.56 / $202.81	Professional	TC	$91.66	$156.56	$202.81