Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.22 / $40.22 / $69.03	Facility	26	$40.22	$40.22	$69.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $122.32 / $144.83	Professional		$52.52	$122.32	$144.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $40.00 / $42.59	Professional	26	$36.49	$40.00	$42.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $82.10 / $104.33	Professional	TC	$16.03	$82.10	$104.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.43 / $288.35 / $340.70	Professional		$264.43	$288.35	$340.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.20 / $82.44 / $97.37	Professional	26	$77.20	$82.44	$97.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $187.22 / $206.27 / $243.71	Professional	TC	$187.22	$206.27	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $211.12 / $322.69	Professional		$119.26	$211.12	$322.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $75.48 / $97.03	Professional	26	$47.07	$75.48	$97.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.95 / $150.72 / $230.38	Professional	TC	$60.95	$150.72	$230.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $195.36 / $886.70	Professional		$107.45	$195.36	$886.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $77.98 / $414.43	Professional	26	$40.78	$77.98	$414.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.14 / $117.38 / $639.54	Professional	TC	$62.14	$117.38	$639.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $175.82 / $275.72	Professional		$112.80	$175.82	$275.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.78 / $73.20 / $110.65	Professional	26	$41.78	$73.20	$110.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.56 / $117.43 / $276.77	Professional	TC	$64.56	$117.43	$276.77