Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.90 / $47.42 / $54.01	Facility	26	$35.90	$47.42	$54.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $127.04 / $166.13	Professional		$103.86	$127.04	$166.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $36.00 / $54.01	Professional	26	$32.15	$36.00	$54.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.70 / $77.84 / $120.47	Professional	TC	$71.70	$77.84	$120.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $167.15 / $167.15	Professional		$142.08	$167.15	$167.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $164.48 / $236.00	Professional		$90.97	$164.48	$236.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.06 / $63.25 / $93.85	Professional	26	$38.06	$63.25	$93.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.31 / $108.95 / $183.81	Professional	TC	$69.31	$108.95	$183.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $96.14 / $96.14 / $214.20	Facility	26	$96.14	$96.14	$214.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $149.05 / $834.21	Professional		$105.74	$149.05	$834.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $54.04 / $261.89	Professional	26	$44.03	$54.04	$261.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.56 / $95.48 / $595.82	Professional	TC	$61.56	$95.48	$595.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $122.42 / $173.26	Professional		$104.58	$122.42	$173.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.34 / $46.07 / $64.77	Professional	26	$43.34	$46.07	$64.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.37 / $73.98 / $115.38	Professional	TC	$60.37	$73.98	$115.38