Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $70.79 / $117.49	Facility	26	$51.29	$70.79	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $309.03	Professional		$114.82	$151.36	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $93.33 / $239.88	Professional	26	$54.95	$93.33	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $87.10 / $218.78	Professional	TC	$61.66	$87.10	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $323.59	Professional		$218.78	$295.12	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $158.49 / $177.83	Professional	26	$120.23	$158.49	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $131.83 / $147.91	Professional	TC	$100.00	$131.83	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $371.54	Professional		$125.89	$213.80	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $102.33 / $162.18	Professional	26	$57.54	$102.33	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $112.20 / $275.42	Professional	TC	$57.54	$112.20	$275.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $1,412.54	Professional		$144.54	$251.19	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $114.82 / $436.52	Professional	26	$64.57	$114.82	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $131.83 / $1,148.15	Professional	TC	$77.62	$131.83	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $371.54	Professional		$138.04	$234.42	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $97.72 / $177.83	Professional	26	$57.54	$97.72	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $218.78	Professional	TC	$74.13	$120.23	$218.78