Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.19 / $56.78 / $56.79	Facility	26	$33.19	$56.78	$56.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $68.45 / $129.69	Professional		$62.40	$68.45	$129.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $56.78 / $1,049.75	Professional	26	$27.07	$56.78	$1,049.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.94 / $35.34 / $44.06	Professional	TC	$31.94	$35.34	$44.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $139.32 / $164.13	Professional		$129.96	$139.32	$164.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.69 / $68.28 / $80.40	Professional	26	$63.69	$68.28	$80.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.27 / $71.04 / $83.72	Professional	TC	$66.27	$71.04	$83.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $128.13 / $158.50	Professional		$88.10	$128.13	$158.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.77 / $62.17 / $77.34	Professional	26	$38.77	$62.17	$77.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.93 / $65.98 / $90.00	Professional	TC	$45.93	$65.98	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $134.36 / $468.00	Professional		$70.75	$134.36	$468.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.56 / $65.06 / $378.10	Professional	26	$33.56	$65.06	$378.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.11 / $68.20 / $378.10	Professional	TC	$38.11	$68.20	$378.10
United Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $118.58 / $168.93	Professional		$64.45	$118.58	$168.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.56 / $61.09 / $82.92	Professional	26	$33.56	$61.09	$82.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $62.37 / $86.01	Professional	TC	$34.29	$62.37	$86.01