Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.33 / $55.37 / $74.43	Facility	26	$38.33	$55.37	$74.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.23 / $291.56 / $329.86	Professional		$219.23	$291.56	$329.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.89 / $44.79 / $50.69	Professional	26	$31.89	$44.79	$50.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.34 / $245.57 / $282.22	Professional	TC	$187.34	$245.57	$282.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $317.80 / $436.38	Professional		$57.95	$317.80	$436.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $304.95 / $421.36	Professional		$260.55	$304.95	$421.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.37 / $46.87 / $72.45	Professional	26	$42.37	$46.87	$72.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.18 / $257.56 / $355.73	Professional	TC	$218.18	$257.56	$355.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.48 / $216.00 / $216.00	Facility	26	$112.48	$216.00	$216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $342.22 / $796.77	Professional		$259.29	$342.22	$796.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.55 / $50.82 / $125.52	Professional	26	$41.55	$50.82	$125.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $217.74 / $275.08 / $744.32	Professional	TC	$217.74	$275.08	$744.32
United Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $317.07 / $536.48	Professional		$259.29	$317.07	$536.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.29 / $49.70 / $98.73	Professional	26	$41.29	$49.70	$98.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.74 / $268.98 / $459.06	Professional	TC	$217.74	$268.98	$459.06