Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.76 / $29.76 / $48.65	Facility	26	$29.76	$29.76	$48.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $106.50 / $146.29	Professional		$96.83	$106.50	$146.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $27.69 / $44.16	Professional	26	$26.35	$27.69	$44.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.48 / $78.81 / $133.91	Professional	TC	$69.48	$78.81	$133.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $257.23 / $268.86	Professional		$208.43	$257.23	$268.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.89 / $68.97 / $72.09	Professional	26	$55.89	$68.97	$72.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.55 / $188.26 / $196.76	Professional	TC	$152.55	$188.26	$196.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $186.08 / $279.39	Professional		$111.80	$186.08	$279.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $53.29 / $74.52	Professional	26	$32.40	$53.29	$74.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.84 / $131.15 / $206.06	Professional	TC	$78.84	$131.15	$206.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $195.06 / $674.54	Professional		$109.71	$195.06	$674.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $54.58 / $180.38	Professional	26	$30.32	$54.58	$180.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.39 / $141.16 / $494.15	Professional	TC	$79.39	$141.16	$494.15
United Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $184.09 / $244.92	Professional		$109.71	$184.09	$244.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $50.34 / $74.16	Professional	26	$30.32	$50.34	$74.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.39 / $139.41 / $199.98	Professional	TC	$79.39	$139.41	$199.98