Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.26 / $611.60 / $764.83	Facility		$181.26	$611.60	$764.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.43 / $14.43 / $22.73	Facility	26	$14.43	$14.43	$22.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $36.74 / $63.67	Professional		$30.91	$36.74	$63.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $14.43 / $63.19	Professional	26	$12.82	$14.43	$63.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $22.33 / $43.20	Professional	TC	$17.89	$22.33	$43.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $93.32 / $97.54	Professional		$75.62	$93.32	$97.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $32.45 / $34.04	Professional	26	$26.30	$32.45	$34.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.73 / $60.86 / $63.61	Professional	TC	$51.73	$60.86	$63.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $42.87 / $42.87	Facility		$42.87	$42.87	$42.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $15.88	Facility	26	$15.88	$15.88	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $58.36 / $91.42	Professional		$37.17	$58.36	$91.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $24.74 / $34.60	Professional	26	$16.68	$24.74	$34.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.49 / $38.57 / $61.53	Professional	TC	$20.49	$38.57	$61.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $57.63 / $251.98	Facility		$36.79	$57.63	$251.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $63.24 / $287.00	Professional		$37.17	$63.24	$287.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $27.34 / $204.67	Professional	26	$15.51	$27.34	$204.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $34.46 / $230.00	Professional	TC	$20.92	$34.46	$230.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $62.56 / $92.40	Professional		$35.15	$62.56	$92.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $25.91 / $35.86	Professional	26	$14.80	$25.91	$35.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $34.46 / $52.54	Professional	TC	$20.91	$34.46	$52.54