Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.90 / $33.90 / $55.33	Facility	26	$33.90	$33.90	$55.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $144.57 / $246.02	Professional		$118.48	$144.57	$246.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $32.46 / $49.52	Professional	26	$28.18	$32.46	$49.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $100.06 / $155.93	Professional	TC	$87.95	$100.06	$155.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.28 / $477.94 / $501.21	Professional		$387.28	$477.94	$501.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.12 / $77.90 / $81.42	Professional	26	$63.12	$77.90	$81.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $324.16 / $400.04 / $421.10	Professional	TC	$324.16	$400.04	$421.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $37.04 / $37.04	Facility	26	$37.04	$37.04	$37.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $303.99 / $493.27	Professional		$135.91	$303.99	$493.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.97 / $60.90 / $83.82	Professional	26	$37.97	$60.90	$83.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.53 / $255.27 / $410.98	Professional	TC	$95.53	$255.27	$410.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $192.82 / $898.89	Professional		$125.33	$192.82	$898.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $63.41 / $371.50	Professional	26	$35.34	$63.41	$371.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.43 / $150.71 / $695.99	Professional	TC	$81.43	$150.71	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $192.82 / $357.14	Professional		$126.53	$192.82	$357.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $57.65 / $82.15	Professional	26	$34.29	$57.65	$82.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.64 / $125.59 / $276.95	Professional	TC	$82.64	$125.59	$276.95