Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $79.43 / $363.08	Facility	26	$60.26	$79.43	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $416.87	Professional		$173.78	$263.03	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $83.18	Professional	26	$51.29	$67.61	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $186.21 / $269.15	Professional	TC	$128.82	$186.21	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $295.12	Professional		$75.86	$218.78	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $724.44	Professional		$194.98	$380.19	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $58.88 / $93.33	Professional	26	$53.70	$58.88	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $323.59 / $645.65	Professional	TC	$134.90	$323.59	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $575.44 / $575.44	Facility	26	$446.68	$575.44	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $3,388.44	Professional		$194.98	$275.42	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $436.52	Professional	26	$48.98	$64.57	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $239.88 / $3,019.95	Professional	TC	$138.04	$239.88	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $630.96	Professional		$190.55	$251.19	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $61.66 / $100.00	Professional	26	$48.98	$61.66	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $177.83 / $575.44	Professional	TC	$138.04	$177.83	$575.44