Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.75 / $42.75 / $69.30	Facility	26	$42.75	$42.75	$69.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $113.46 / $240.09	Professional		$93.43	$113.46	$240.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $42.69 / $130.50	Professional	26	$36.61	$42.69	$130.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $74.09 / $326.63	Professional	TC	$56.82	$74.09	$326.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $263.72 / $276.57	Professional		$213.70	$263.72	$276.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.91 / $97.37 / $101.78	Professional	26	$78.91	$97.37	$101.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.79 / $166.34 / $174.45	Professional	TC	$134.79	$166.34	$174.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.25 / $46.25 / $46.25	Facility	26	$46.25	$46.25	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $181.09 / $287.26	Professional		$98.92	$181.09	$287.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $76.13 / $104.78	Professional	26	$44.69	$76.13	$104.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.74 / $109.05 / $182.48	Professional	TC	$58.74	$109.05	$182.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $211.48 / $708.49	Professional		$115.13	$211.48	$708.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.90 / $83.83 / $188.60	Professional	26	$52.90	$83.83	$188.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $139.47 / $450.80	Professional	TC	$71.81	$139.47	$450.80
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $199.38 / $258.97	Professional		$115.13	$199.38	$258.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.31 / $74.94 / $106.70	Professional	26	$43.31	$74.94	$106.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $128.58 / $180.81	Professional	TC	$71.81	$128.58	$180.81