Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.95 / $27.95 / $44.57	Facility	26	$27.95	$27.95	$44.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $95.98 / $122.83	Professional		$79.45	$95.98	$122.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $25.46 / $28.61	Professional	26	$22.71	$25.46	$28.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.74 / $69.26 / $94.21	Professional	TC	$56.74	$69.26	$94.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $240.99 / $252.55	Professional		$195.29	$240.99	$252.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $63.29 / $66.15	Professional	26	$51.29	$63.29	$66.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.00 / $177.70 / $186.36	Professional	TC	$144.00	$177.70	$186.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $30.07	Facility	26	$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $159.37 / $255.87	Professional		$95.84	$159.37	$255.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.44 / $46.87 / $67.23	Professional	26	$26.44	$46.87	$67.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.26 / $116.98 / $194.71	Professional	TC	$68.26	$116.98	$194.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $175.28 / $642.13	Professional		$96.40	$175.28	$642.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.36 / $51.59 / $167.46	Professional	26	$27.36	$51.59	$167.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.53 / $120.98 / $474.67	Professional	TC	$66.53	$120.98	$474.67
United Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $167.80 / $241.36	Professional		$96.40	$167.80	$241.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $51.49 / $69.66	Professional	26	$28.51	$51.49	$69.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.53 / $116.50 / $168.19	Professional	TC	$66.53	$116.50	$168.19