Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $32.36 / $53.70	Facility	26	$30.90	$32.36	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $245.47	Professional		$69.18	$117.49	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $50.12 / $85.11	Professional	26	$25.70	$50.12	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $61.66 / $208.93	Professional	TC	$41.69	$61.66	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $208.93	Professional		$141.25	$186.21	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $79.43	Professional	26	$53.70	$70.79	$79.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $114.82 / $128.82	Professional	TC	$87.10	$114.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $213.80	Professional		$81.28	$125.89	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $46.77 / $77.62	Professional	26	$30.90	$46.77	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $79.43 / $134.90	Professional	TC	$50.12	$79.43	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $524.81	Professional		$85.11	$162.18	$524.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $64.57 / $194.98	Professional	26	$34.67	$64.57	$194.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $100.00 / $331.13	Professional	TC	$52.48	$100.00	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $204.17	Professional		$85.11	$138.04	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $50.12 / $79.43	Professional	26	$31.62	$50.12	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $85.11 / $123.03	Professional	TC	$52.48	$85.11	$123.03