Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.13 / $25.13 / $56.77	Facility	26	$25.13	$25.13	$56.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $93.98 / $131.24	Professional		$86.29	$93.98	$131.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $25.13 / $89.89	Professional	26	$23.42	$25.13	$89.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $72.88 / $192.04	Professional	TC	$62.86	$72.88	$192.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.46 / $299.37 / $331.57	Professional		$254.46	$299.37	$331.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.43 / $75.80 / $83.11	Professional	26	$64.43	$75.80	$83.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.02 / $223.55 / $250.34	Professional	TC	$190.02	$223.55	$250.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $171.27 / $278.25	Professional		$171.27	$171.27	$278.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $42.71 / $69.39	Professional	26	$42.71	$42.71	$69.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.56 / $128.56 / $208.86	Professional	TC	$128.56	$128.56	$208.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $249.10 / $309.45	Professional		$106.13	$249.10	$309.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.03 / $68.12 / $78.80	Professional	26	$29.03	$68.12	$78.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.09 / $180.98 / $230.65	Professional	TC	$77.09	$180.98	$230.65
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $150.22 / $309.45	Professional		$79.89	$150.22	$309.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $61.03 / $78.80	Professional	26	$19.57	$61.03	$78.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.32 / $112.18 / $230.65	Professional	TC	$60.32	$112.18	$230.65