Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.40 / $51.40 / $86.80	Facility	26	$51.40	$51.40	$86.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $97.75 / $115.83	Professional		$92.99	$97.75	$115.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $50.08 / $51.40	Professional	26	$40.96	$50.08	$51.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.31 / $54.64 / $68.05	Professional	TC	$42.31	$54.64	$68.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $198.55 / $234.59	Professional		$184.00	$198.55	$234.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.15 / $104.53 / $123.51	Professional	26	$97.15	$104.53	$123.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.85 / $94.01 / $111.08	Professional	TC	$86.85	$94.01	$111.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $181.43 / $273.77	Professional		$123.60	$181.43	$273.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.17 / $94.52 / $119.09	Professional	26	$59.17	$94.52	$119.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.93 / $86.91 / $167.36	Professional	TC	$58.93	$86.91	$167.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $187.86 / $1,141.00	Professional		$103.32	$187.86	$1,141.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.33 / $99.18 / $493.68	Professional	26	$52.33	$99.18	$493.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.77 / $88.68 / $900.73	Professional	TC	$48.77	$88.68	$900.73
United Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $169.78 / $239.74	Professional		$96.72	$169.78	$239.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.33 / $93.12 / $128.19	Professional	26	$52.33	$93.12	$128.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $81.70 / $111.55	Professional	TC	$44.39	$81.70	$111.55