Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.06 / $17.39 / $26.89	Facility	26	$15.06	$17.39	$26.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $116.90 / $143.91	Professional		$94.28	$116.90	$143.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $14.50 / $18.25	Professional	26	$11.69	$14.50	$18.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.58 / $102.40 / $125.67	Professional	TC	$82.58	$102.40	$125.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $181.43 / $181.43	Professional		$181.43	$181.43	$181.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $167.47 / $252.43	Professional		$93.12	$167.47	$252.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.38 / $21.90	Professional	26	$9.77	$16.38	$21.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.59 / $148.18 / $226.92	Professional	TC	$82.59	$148.18	$226.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.36 / $110.80 / $110.80	Facility	26	$85.36	$110.80	$110.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $164.98 / $876.62	Professional		$119.43	$164.98	$876.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $15.54 / $270.04	Professional	26	$11.12	$15.54	$270.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.09 / $148.94 / $820.61	Professional	TC	$106.09	$148.94	$820.61
United Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $149.26 / $206.33	Professional		$116.21	$149.26	$206.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $13.60 / $21.47	Professional	26	$11.12	$13.60	$21.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $138.13 / $190.64	Professional	TC	$103.58	$138.13	$190.64