Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.64 / $32.64 / $52.72	Facility	26	$32.64	$32.64	$52.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $91.45 / $254.23	Professional		$76.63	$91.45	$254.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $31.85 / $85.44	Professional	26	$27.64	$31.85	$85.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.96 / $62.21 / $434.70	Professional	TC	$49.96	$62.21	$434.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.12 / $196.36 / $205.25	Professional		$159.12	$196.36	$205.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $74.65 / $78.03	Professional	26	$60.49	$74.65	$78.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.63 / $121.71 / $127.64	Professional	TC	$98.63	$121.71	$127.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $152.58 / $214.00	Professional		$91.85	$152.58	$214.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.11 / $57.73 / $79.45	Professional	26	$34.11	$57.73	$79.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.35 / $95.00 / $134.84	Professional	TC	$58.35	$95.00	$134.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $161.81 / $524.64	Professional		$90.53	$161.81	$524.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $65.28 / $195.35	Professional	26	$36.40	$65.28	$195.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $58.07 / $99.43 / $329.23	Professional	TC	$58.07	$99.43	$329.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $149.09 / $191.98	Professional		$85.57	$149.09	$191.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.20 / $56.25 / $80.04	Professional	26	$33.20	$56.25	$80.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.33 / $90.02 / $119.57	Professional	TC	$52.33	$90.02	$119.57