Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.87 / $61.87 / $104.85	Facility	26	$61.87	$61.87	$104.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $137.58 / $286.52	Professional		$123.77	$137.58	$286.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.70 / $62.61 / $879.70	Professional	26	$55.70	$62.61	$879.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.73 / $83.90 / $104.59	Professional	TC	$62.73	$83.90	$104.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.71 / $264.50 / $312.51	Professional		$241.71	$264.50	$312.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.10 / $126.28 / $148.57	Professional	26	$117.10	$126.28	$148.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $127.39 / $138.21 / $163.30	Professional	TC	$127.39	$138.21	$163.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $242.97 / $339.76	Professional		$183.27	$242.97	$339.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.38 / $114.82 / $143.80	Professional	26	$71.38	$114.82	$143.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.73 / $128.13 / $195.86	Professional	TC	$100.73	$128.13	$195.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $258.33 / $1,049.00	Professional		$145.38	$258.33	$1,049.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.80 / $119.68 / $855.01	Professional	26	$62.80	$119.68	$855.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.56 / $135.82 / $724.87	Professional	TC	$79.56	$135.82	$724.87
United Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $237.91 / $324.31	Professional		$130.28	$237.91	$324.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.01 / $112.43 / $154.43	Professional	26	$60.01	$112.43	$154.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $130.19 / $169.88	Professional	TC	$67.48	$130.19	$169.88