Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.35 / $59.81 / $111.08	Facility	26	$57.35	$59.81	$111.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $95.59 / $117.78	Professional		$90.02	$95.59	$117.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $49.60 / $60.76	Professional	26	$40.96	$49.60	$60.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.41 / $46.55 / $57.02	Professional	TC	$41.41	$46.55	$57.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.77 / $219.77 / $219.77	Professional		$219.77	$219.77	$219.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $140.36 / $310.00	Professional		$82.22	$140.36	$310.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.58 / $67.64 / $83.92	Professional	26	$42.58	$67.64	$83.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.69 / $66.06 / $232.00	Professional	TC	$40.69	$66.06	$232.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.07 / $117.07 / $117.07	Facility	26	$117.07	$117.07	$117.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $184.19 / $1,141.00	Professional		$96.72	$184.19	$1,141.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.63 / $63.55 / $493.68	Professional	26	$51.63	$63.55	$493.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $114.70 / $900.73	Professional	TC	$44.39	$114.70	$900.73
United Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $139.13 / $235.78	Professional		$94.21	$139.13	$235.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $57.56 / $102.06	Professional	26	$50.55	$57.56	$102.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.87 / $69.34 / $172.90	Professional	TC	$42.87	$69.34	$172.90