Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.32 / $50.32 / $80.39	Facility	26	$50.32	$50.32	$80.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $166.71 / $342.42	Professional		$133.50	$166.71	$342.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $48.16 / $129.60	Professional	26	$41.47	$48.16	$129.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.92 / $120.35 / $416.70	Professional	TC	$93.92	$120.35	$416.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $385.43 / $402.85	Professional		$312.33	$385.43	$402.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.05 / $113.60 / $118.74	Professional	26	$92.05	$113.60	$118.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.27 / $271.83 / $284.12	Professional	TC	$220.27	$271.83	$284.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $291.32 / $425.81	Professional		$159.71	$291.32	$425.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.81 / $84.27 / $122.42	Professional	26	$43.81	$84.27	$122.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.47 / $203.10 / $303.39	Professional	TC	$111.47	$203.10	$303.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $329.39 / $1,024.30	Professional		$178.28	$329.39	$1,024.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.41 / $97.10 / $300.10	Professional	26	$53.41	$97.10	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $126.70 / $228.15 / $724.19	Professional	TC	$126.70	$228.15	$724.19
United Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $315.27 / $429.31	Professional		$187.06	$315.27	$429.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.03 / $91.16 / $125.42	Professional	26	$53.03	$91.16	$125.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.59 / $218.70 / $318.06	Professional	TC	$132.59	$218.70	$318.06