Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.78 / $38.78 / $62.31	Facility	26	$38.78	$38.78	$62.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $88.39 / $142.22	Professional		$79.58	$88.39	$142.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $38.78 / $100.57	Professional	26	$33.34	$38.78	$100.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.27 / $55.88 / $195.30	Professional	TC	$45.27	$55.88	$195.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $208.54 / $217.96	Professional		$168.98	$208.54	$217.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.01 / $87.64 / $91.60	Professional	26	$71.01	$87.64	$91.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.97 / $120.90 / $126.37	Professional	TC	$97.97	$120.90	$126.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $159.37 / $225.27	Professional		$102.18	$159.37	$225.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.08 / $68.51 / $94.30	Professional	26	$41.08	$68.51	$94.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.87 / $95.16 / $130.97	Professional	TC	$58.87	$95.16	$130.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $164.61 / $555.44	Professional		$90.23	$164.61	$555.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.10 / $76.48 / $203.72	Professional	26	$47.10	$76.48	$203.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.02 / $97.40 / $351.46	Professional	TC	$54.02	$97.40	$351.46
United Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $155.47 / $220.15	Professional		$90.23	$155.47	$220.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $65.93 / $91.41	Professional	26	$39.34	$65.93	$91.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.77 / $88.18 / $114.43	Professional	TC	$49.77	$88.18	$114.43