Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $61.66 / $104.71	Facility	26	$43.65	$61.66	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $436.52	Professional		$162.18	$229.09	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $151.36	Professional	26	$43.65	$61.66	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $169.82 / $371.54	Professional	TC	$120.23	$169.82	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $562.34	Professional		$380.19	$501.19	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $141.25 / $158.49	Professional	26	$107.15	$141.25	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $363.08 / $407.38	Professional	TC	$275.42	$363.08	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $588.84	Professional		$295.12	$416.87	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $104.71 / $144.54	Professional	26	$77.62	$104.71	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $309.03 / $467.74	Professional	TC	$213.80	$309.03	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $3,388.44	Professional		$234.42	$436.52	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $117.49 / $436.52	Professional	26	$61.66	$117.49	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $323.59 / $3,019.95	Professional	TC	$169.82	$323.59	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $630.96	Professional		$234.42	$426.58	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $117.49 / $158.49	Professional	26	$60.26	$117.49	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $316.23 / $467.74	Professional	TC	$169.82	$316.23	$467.74