Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.06 / $78.06 / $78.06	Facility	26	$78.06	$78.06	$78.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.67 / $263.67 / $263.67	Professional		$263.67	$263.67	$263.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.67 / $94.67 / $94.67	Professional	26	$94.67	$94.67	$94.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.02 / $169.02 / $169.02	Professional	TC	$169.02	$169.02	$169.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.32 / $276.93 / $303.63	Professional		$230.32	$276.93	$303.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.50 / $105.20 / $115.34	Professional	26	$87.50	$105.20	$115.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.83 / $171.73 / $188.91	Professional	TC	$142.83	$171.73	$188.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.21 / $229.01 / $315.20	Professional		$183.21	$229.01	$315.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.01 / $85.01 / $117.00	Professional	26	$68.01	$85.01	$117.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.20 / $144.00 / $198.20	Professional	TC	$115.20	$144.00	$198.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $238.82 / $968.53	Professional		$124.51	$238.82	$968.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $88.42 / $279.39	Professional	26	$46.19	$88.42	$279.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.31 / $148.82 / $774.95	Professional	TC	$78.31	$148.82	$774.95
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $216.16 / $311.23	Professional		$124.51	$216.16	$311.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $84.00 / $114.00	Professional	26	$46.19	$84.00	$114.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.31 / $144.47 / $197.23	Professional	TC	$78.31	$144.47	$197.23