Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $12.02 / $19.95	Facility	26	$7.94	$12.02	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $251.19	Professional		$64.57	$97.72	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $41.69	Professional	26	$10.00	$12.02	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $83.18 / $208.93	Professional	TC	$54.95	$83.18	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $257.04	Professional		$173.78	$234.42	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $30.20	Professional	26	$20.42	$26.92	$30.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $204.17 / $229.09	Professional	TC	$154.88	$204.17	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $288.40	Professional		$123.03	$165.96	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.38 / $29.51	Professional	26	$10.23	$17.38	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $151.36 / $239.88	Professional	TC	$107.15	$151.36	$239.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $870.96	Professional		$117.49	$208.93	$870.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $22.39 / $269.15	Professional	26	$11.22	$22.39	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $186.21 / $812.83	Professional	TC	$104.71	$186.21	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $275.42	Professional		$114.82	$194.98	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $20.89 / $31.62	Professional	26	$10.72	$20.89	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $173.78 / $245.47	Professional	TC	$104.71	$173.78	$245.47