Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $107.15	Facility	26	$61.66	$61.66	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $302.00 / $870.96	Professional		$117.49	$302.00	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $234.42 / $794.33	Professional	26	$57.54	$234.42	$794.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $70.79 / $104.71	Professional	TC	$54.95	$70.79	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $323.59	Professional		$223.87	$269.15	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $128.82 / $154.88	Professional	26	$107.15	$128.82	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $141.25 / $169.82	Professional	TC	$114.82	$141.25	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $338.84	Professional		$169.82	$245.47	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $144.54	Professional	26	$70.79	$112.20	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $128.82 / $181.97	Professional	TC	$91.20	$128.82	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $1,047.13	Professional		$128.82	$251.19	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $120.23 / $851.14	Professional	26	$63.10	$120.23	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $134.90 / $724.44	Professional	TC	$67.61	$134.90	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $338.84	Professional		$128.82	$239.88	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $112.20 / $158.49	Professional	26	$60.26	$112.20	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $125.89 / $177.83	Professional	TC	$67.61	$125.89	$177.83