Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.92 / $31.92 / $51.55	Facility	26	$31.92	$31.92	$51.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $112.34 / $236.22	Professional		$93.03	$112.34	$236.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $31.92 / $85.50	Professional	26	$27.82	$31.92	$85.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.68 / $95.68 / $206.10	Professional	TC	$65.68	$95.68	$206.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.60 / $242.62 / $253.59	Professional		$196.60	$242.62	$253.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.18 / $73.02 / $76.33	Professional	26	$59.18	$73.02	$76.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.41 / $169.59 / $177.85	Professional	TC	$137.41	$169.59	$177.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $34.36 / $34.36	Facility	26	$34.36	$34.36	$34.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $164.00 / $267.89	Professional		$100.77	$164.00	$267.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.89 / $56.46 / $77.70	Professional	26	$34.89	$56.46	$77.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.94 / $111.76 / $188.95	Professional	TC	$65.94	$111.76	$188.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $137.62 / $654.87	Professional		$89.45	$137.62	$654.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $60.32 / $217.94	Professional	26	$35.61	$60.32	$217.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.17 / $89.22 / $461.63	Professional	TC	$50.17	$89.22	$461.63
United Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $137.62 / $238.94	Professional		$89.45	$137.62	$238.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $57.04 / $79.56	Professional	26	$32.47	$57.04	$79.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.66 / $89.22 / $178.54	Professional	TC	$54.66	$89.22	$178.54