Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.34 / $95.23 / $95.24	Facility	26	$59.34	$95.23	$95.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $179.96 / $294.18	Professional		$162.22	$179.96	$294.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $56.92 / $86.02	Professional	26	$51.54	$56.92	$86.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $125.30 / $208.15	Professional	TC	$110.68	$125.30	$208.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.06 / $407.66 / $446.96	Professional		$339.06	$407.66	$446.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.80 / $128.41 / $140.79	Professional	26	$106.80	$128.41	$140.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $232.25 / $279.26 / $306.17	Professional	TC	$232.25	$279.26	$306.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.96 / $336.85 / $417.00	Professional		$236.96	$336.85	$417.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.06 / $104.04 / $137.44	Professional	26	$70.06	$104.04	$137.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.02 / $232.82 / $289.29	Professional	TC	$160.02	$232.82	$289.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $361.50 / $1,809.00	Professional		$200.73	$361.50	$1,809.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.27 / $113.39 / $543.00	Professional	26	$61.27	$113.39	$543.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $135.08 / $233.32 / $1,266.00	Professional	TC	$135.08	$233.32	$1,266.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $328.46 / $454.07	Professional		$200.73	$328.46	$454.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.65 / $109.39 / $147.99	Professional	26	$65.65	$109.39	$147.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.08 / $230.59 / $306.08	Professional	TC	$135.08	$230.59	$306.08