Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.57 / $18.57 / $30.31	Facility	26	$18.57	$18.57	$30.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $103.93 / $164.56	Professional		$84.63	$103.93	$164.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.03 / $17.67 / $65.86	Professional	26	$16.03	$17.67	$65.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.59 / $87.32 / $137.05	Professional	TC	$68.59	$87.32	$137.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $236.12 / $247.63	Professional		$191.34	$236.12	$247.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.51 / $43.75 / $45.80	Professional	26	$35.51	$43.75	$45.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.83 / $192.31 / $201.68	Professional	TC	$155.83	$192.31	$201.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.50 / $20.50 / $20.50	Facility	26	$20.50	$20.50	$20.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $152.99 / $246.92	Professional		$78.34	$152.99	$246.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $31.42 / $44.53	Professional	26	$18.44	$31.42	$44.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.37 / $122.82 / $211.29	Professional	TC	$64.37	$122.82	$211.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $169.52 / $664.33	Professional		$93.24	$169.52	$664.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.37 / $37.14 / $113.72	Professional	26	$19.37	$37.14	$113.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.73 / $134.26 / $550.61	Professional	TC	$74.73	$134.26	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $169.52 / $229.68	Professional		$94.55	$169.52	$229.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $34.78 / $46.13	Professional	26	$19.13	$34.78	$46.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.17 / $141.61 / $198.15	Professional	TC	$76.17	$141.61	$198.15