Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.32 / $47.94 / $274.67	Facility	26	$40.32	$47.94	$274.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.88 / $319.62 / $393.21	Professional		$244.88	$319.62	$393.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.26 / $46.94 / $53.40	Professional	26	$33.26	$46.94	$53.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $211.62 / $271.31 / $339.81	Professional	TC	$211.62	$271.31	$339.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $355.25 / $487.81	Professional		$59.43	$355.25	$487.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $306.99 / $456.10	Professional		$278.52	$306.99	$456.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.28 / $49.49 / $75.70	Professional	26	$44.28	$49.49	$75.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.81 / $261.70 / $363.92	Professional	TC	$233.81	$261.70	$363.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.60 / $236.00 / $236.00	Facility	26	$118.60	$236.00	$236.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.11 / $362.09 / $876.78	Professional		$293.11	$362.09	$876.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.78 / $53.34 / $130.77	Professional	26	$43.78	$53.34	$130.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $248.34 / $302.37 / $845.28	Professional	TC	$248.34	$302.37	$845.28
United Facility/Professional Professional Modifier Low / Median / High Price $280.92 / $341.12 / $601.98	Professional		$280.92	$341.12	$601.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.02 / $51.60 / $102.87	Professional	26	$43.02	$51.60	$102.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.34 / $300.20 / $521.32	Professional	TC	$248.34	$300.20	$521.32