Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.14 / $62.92 / $62.93	Facility	26	$39.14	$62.92	$62.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $283.23 / $492.19	Professional		$251.87	$283.23	$492.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $37.63 / $144.00	Professional	26	$33.17	$37.63	$144.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $248.84 / $433.19	Professional	TC	$218.71	$248.84	$433.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.30 / $686.92 / $755.65	Professional		$571.30	$686.92	$755.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.77 / $85.09 / $93.29	Professional	26	$70.77	$85.09	$93.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $500.54 / $601.83 / $662.04	Professional	TC	$500.54	$601.83	$662.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.79 / $461.45 / $704.28	Professional		$294.79	$461.45	$704.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.42 / $68.51 / $88.12	Professional	26	$46.42	$68.51	$88.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.60 / $406.16 / $616.16	Professional	TC	$255.60	$406.16	$616.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.57 / $660.67 / $2,023.55	Professional		$343.57	$660.67	$2,023.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $74.45 / $267.48	Professional	26	$39.70	$74.45	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $303.87 / $587.08 / $1,789.49	Professional	TC	$303.87	$587.08	$1,789.49
United Facility/Professional Professional Modifier Low / Median / High Price $361.90 / $632.24 / $838.90	Professional		$361.90	$632.24	$838.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $70.54 / $97.65	Professional	26	$39.40	$70.54	$97.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.87 / $560.07 / $717.97	Professional	TC	$303.87	$560.07	$717.97