Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.72 / $46.72 / $79.81	Facility	26	$46.72	$46.72	$79.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $64.54 / $66.86	Professional		$55.57	$64.54	$66.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $45.88 / $73.12	Professional	26	$37.99	$45.88	$73.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $19.94 / $21.93	Professional	TC	$17.57	$19.94	$21.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $136.81 / $161.65	Professional		$126.74	$136.81	$161.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.43 / $96.12 / $113.56	Professional	26	$89.43	$96.12	$113.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.32 / $40.69 / $48.07	Professional	TC	$37.32	$40.69	$48.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $123.70 / $153.37	Professional		$79.28	$123.70	$153.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.46 / $84.24 / $109.31	Professional	26	$54.46	$84.24	$109.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.67 / $35.01 / $44.99	Professional	TC	$21.67	$35.01	$44.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $124.14 / $404.61	Professional		$66.40	$124.14	$404.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.28 / $90.58 / $402.86	Professional	26	$47.28	$90.58	$402.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $37.88 / $402.86	Professional	TC	$19.12	$37.88	$402.86
United Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $116.10 / $164.44	Professional		$66.40	$116.10	$164.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.15 / $86.05 / $127.81	Professional	26	$45.15	$86.05	$127.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $34.58 / $47.72	Professional	TC	$19.12	$34.58	$47.72