Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.45 / $34.45 / $55.63	Facility	26	$34.45	$34.45	$55.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $113.03 / $180.02	Professional		$98.03	$113.03	$180.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $33.43 / $87.70	Professional	26	$29.75	$33.43	$87.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.84 / $94.28 / $252.00	Professional	TC	$67.84	$94.28	$252.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.46 / $254.79 / $266.91	Professional		$206.46	$254.79	$266.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.78 / $78.70 / $82.27	Professional	26	$63.78	$78.70	$82.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.68 / $176.08 / $184.65	Professional	TC	$142.68	$176.08	$184.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Facility	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $172.22 / $281.20	Professional		$105.84	$172.22	$281.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.59 / $60.90 / $83.82	Professional	26	$37.59	$60.90	$83.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.39 / $131.19 / $196.05	Professional	TC	$71.39	$131.19	$196.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $204.61 / $687.27	Professional		$111.52	$204.61	$687.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.42 / $69.76 / $170.41	Professional	26	$42.42	$69.76	$170.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.70 / $152.63 / $479.00	Professional	TC	$84.70	$152.63	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $193.48 / $278.58	Professional		$111.52	$193.48	$278.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.09 / $59.39 / $88.86	Professional	26	$35.09	$59.39	$88.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.51 / $129.74 / $177.05	Professional	TC	$76.51	$129.74	$177.05