Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.12 / $109.12 / $185.81	Facility	26	$109.12	$109.12	$185.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $179.81 / $216.84	Professional		$134.91	$179.81	$216.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.92 / $106.16 / $170.18	Professional	26	$90.92	$106.16	$170.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.80 / $67.28 / $101.12	Professional	TC	$25.80	$67.28	$101.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.08 / $300.16 / $357.03	Professional		$283.08	$300.16	$357.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $207.81 / $223.11 / $263.60	Professional	26	$207.81	$223.11	$263.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.28 / $76.93 / $91.22	Professional	TC	$75.28	$76.93	$91.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.83 / $278.49 / $575.24	Professional		$193.83	$278.49	$575.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.65 / $203.00 / $253.93	Professional	26	$126.65	$203.00	$253.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.30 / $75.48 / $342.48	Professional	TC	$54.30	$75.48	$342.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.68 / $290.32 / $3,014.42	Professional		$159.68	$290.32	$3,014.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $211.68 / $1,056.82	Professional	26	$110.80	$211.68	$1,056.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.25 / $73.83 / $2,488.46	Professional	TC	$43.25	$73.83	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $261.29 / $337.41	Professional		$136.78	$261.29	$337.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $198.74 / $272.36	Professional	26	$110.80	$198.74	$272.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $56.86 / $270.17	Professional	TC	$25.98	$56.86	$270.17