Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.88 / $51.88 / $117.68	Facility	26	$51.88	$51.88	$117.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $147.21 / $229.86	Professional		$106.32	$147.21	$229.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.56 / $247.42	Professional	26	$51.29	$70.56	$247.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.44 / $86.49 / $160.22	Professional	TC	$54.44	$86.49	$160.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.55 / $306.72 / $345.67	Professional		$248.55	$306.72	$345.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.44 / $167.15 / $174.71	Professional	26	$135.44	$167.15	$174.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.22 / $145.88 / $175.73	Professional	TC	$114.22	$145.88	$175.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.31 / $79.31 / $79.31	Facility	26	$79.31	$79.31	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $238.53 / $392.37	Professional		$136.71	$238.53	$392.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.50 / $111.94 / $175.50	Professional	26	$57.50	$111.94	$175.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.73 / $116.23 / $294.89	Professional	TC	$70.73	$116.23	$294.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $646.64 / $646.64 / $646.64	Facility	26	$646.64	$646.64	$646.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.05 / $269.98 / $1,406.40	Professional		$146.05	$269.98	$1,406.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.42 / $130.16 / $439.49	Professional	26	$64.42	$130.16	$439.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $134.62 / $1,140.03	Professional	TC	$77.95	$134.62	$1,140.03
United Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $266.58 / $380.81	Professional		$142.84	$266.58	$380.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.83 / $135.36 / $184.50	Professional	26	$68.83	$135.36	$184.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.04 / $134.62 / $202.57	Professional	TC	$74.04	$134.62	$202.57