Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $69.18	Facility	26	$39.81	$39.81	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $120.23 / $204.17	Professional		$38.90	$120.23	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $39.81 / $58.88	Professional	26	$30.90	$39.81	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $83.18 / $144.54	Professional	TC	$7.08	$83.18	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $354.81	Professional		$239.88	$295.12	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $102.33	Professional	26	$69.18	$87.10	$102.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $208.93 / $251.19	Professional	TC	$169.82	$208.93	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $331.13	Professional		$120.23	$208.93	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $75.86 / $97.72	Professional	26	$46.77	$75.86	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $151.36 / $234.42	Professional	TC	$66.07	$151.36	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $891.25	Professional		$107.15	$181.97	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $74.13 / $416.87	Professional	26	$40.74	$74.13	$416.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $112.20 / $645.65	Professional	TC	$52.48	$112.20	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $302.00	Professional		$100.00	$181.97	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $72.44 / $104.71	Professional	26	$38.90	$72.44	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $109.65 / $213.80	Professional	TC	$46.77	$109.65	$213.80