Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.40 / $51.46 / $65.29	Facility	26	$38.40	$51.46	$65.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $133.90 / $353.52	Professional		$49.95	$133.90	$353.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.79 / $36.94 / $99.68	Professional	26	$31.79	$36.94	$99.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $41.39 / $49.95 / $126.45	Professional	52	$41.39	$49.95	$126.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.37 / $98.28 / $343.54	Professional	TC	$85.37	$98.28	$343.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.14 / $312.39 / $326.52	Professional		$253.14	$312.39	$326.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.01 / $87.64 / $91.60	Professional	26	$71.01	$87.64	$91.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.13 / $224.76 / $234.93	Professional	TC	$182.13	$224.76	$234.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	26	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $235.13 / $345.08	Professional		$129.31	$235.13	$345.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.50 / $64.12 / $94.03	Professional	26	$33.50	$64.12	$94.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.22 / $167.72 / $251.05	Professional	TC	$92.22	$167.72	$251.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $257.93 / $825.92	Professional		$139.31	$257.93	$825.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.50 / $72.20 / $227.63	Professional	26	$52.50	$72.20	$227.63
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $168.82 / $168.82 / $168.82	Professional	52	$168.82	$168.82	$168.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $104.64 / $190.62 / $598.35	Professional	TC	$104.64	$190.62	$598.35
United Facility/Professional Professional Modifier Low / Median / High Price $151.10 / $247.25 / $347.52	Professional		$151.10	$247.25	$347.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $70.36 / $95.60	Professional	26	$40.74	$70.36	$95.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.29 / $179.95 / $251.92	Professional	TC	$110.29	$179.95	$251.92