Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.81 / $34.81 / $56.21	Facility	26	$34.81	$34.81	$56.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $126.18 / $238.00	Professional		$110.81	$126.18	$238.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $33.96 / $100.80	Professional	26	$29.75	$33.96	$100.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $50.84 / $62.25 / $63.37	Professional	52	$50.84	$62.25	$63.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.17 / $94.62 / $289.25	Professional	TC	$82.17	$94.62	$289.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $286.44 / $300.38	Professional		$232.10	$286.44	$300.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.43 / $79.52 / $83.11	Professional	26	$64.43	$79.52	$83.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $167.67 / $206.91 / $216.99	Professional	TC	$167.67	$206.91	$216.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $37.42 / $37.42	Facility	26	$37.42	$37.42	$37.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $188.90 / $311.70	Professional		$105.90	$188.90	$311.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.82 / $61.53 / $84.69	Professional	26	$36.82	$61.53	$84.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.31 / $136.04 / $227.01	Professional	TC	$72.31	$136.04	$227.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $223.34 / $778.42	Professional		$123.88	$223.34	$778.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.15 / $69.31 / $105.60	Professional	26	$45.15	$69.31	$105.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.86 / $175.46 / $570.15	Professional	TC	$89.86	$175.46	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $210.94 / $266.02	Professional		$119.37	$210.94	$266.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.72 / $59.18 / $82.00	Professional	26	$34.72	$59.18	$82.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.86 / $152.46 / $198.03	Professional	TC	$89.86	$152.46	$198.03