Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.02 / $62.47 / $352.19	Facility	26	$52.02	$62.47	$352.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.22 / $289.25 / $324.67	Professional		$216.22	$289.25	$324.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.94 / $59.65 / $66.45	Professional	26	$42.94	$59.65	$66.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.28 / $227.64 / $260.07	Professional	TC	$173.28	$227.64	$260.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $313.95 / $431.10	Professional		$67.45	$313.95	$431.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.43 / $297.86 / $481.95	Professional		$259.43	$297.86	$481.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.44 / $62.50 / $96.87	Professional	26	$56.44	$62.50	$96.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.05 / $234.78 / $369.21	Professional	TC	$199.05	$234.78	$369.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $151.49 / $286.08 / $286.08	Facility	26	$151.49	$286.08	$286.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $363.47 / $682.22	Professional		$284.25	$363.47	$682.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.39 / $69.44 / $166.77	Professional	26	$56.39	$69.44	$166.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.17 / $283.27 / $678.48	Professional	TC	$223.17	$283.27	$678.48
United Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $347.54 / $643.79	Professional		$278.02	$347.54	$643.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $68.83 / $111.81	Professional	26	$54.86	$68.83	$111.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.17 / $283.27 / $533.66	Professional	TC	$223.17	$283.27	$533.66