Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.70 / $37.70 / $60.87	Facility	26	$37.70	$37.70	$60.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $98.39 / $255.43	Professional		$87.44	$98.39	$255.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $37.70 / $98.79	Professional	26	$32.13	$37.70	$98.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.20 / $64.31 / $209.70	Professional	TC	$52.20	$64.31	$209.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $223.15 / $234.02	Professional		$180.82	$223.15	$234.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.70 / $86.01 / $89.90	Professional	26	$69.70	$86.01	$89.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.12 / $137.13 / $143.81	Professional	TC	$111.12	$137.13	$143.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $172.25 / $242.00	Professional		$102.30	$172.25	$242.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.92 / $66.61 / $91.68	Professional	26	$39.92	$66.61	$91.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.96 / $102.00 / $152.58	Professional	TC	$63.96	$102.00	$152.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $177.84 / $600.27	Professional		$97.44	$177.84	$600.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.90 / $71.15 / $111.90	Professional	26	$45.90	$71.15	$111.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.79 / $109.08 / $372.64	Professional	TC	$59.79	$109.08	$372.64
United Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $167.96 / $219.11	Professional		$98.82	$167.96	$219.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.25 / $64.09 / $94.05	Professional	26	$38.25	$64.09	$94.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.54 / $100.00 / $132.24	Professional	TC	$66.54	$100.00	$132.24