Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.84 / $43.84 / $43.84	Facility	26	$43.84	$43.84	$43.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $133.56 / $184.65	Professional		$103.97	$133.56	$184.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.08 / $43.84 / $57.92	Professional	26	$35.08	$43.84	$57.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.53 / $93.06 / $126.73	Professional	TC	$61.53	$93.06	$126.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.35 / $383.00 / $403.69	Professional		$310.35	$383.00	$403.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.19 / $101.43 / $106.02	Professional	26	$82.19	$101.43	$106.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $228.16 / $281.56 / $300.89	Professional	TC	$228.16	$281.56	$300.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.14 / $47.14 / $47.14	Facility	26	$47.14	$47.14	$47.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $219.75 / $429.10	Professional		$119.89	$219.75	$429.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $71.65 / $122.15	Professional	26	$43.47	$71.65	$122.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.39 / $144.72 / $317.35	Professional	TC	$76.39	$144.72	$317.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $193.30 / $834.21	Professional		$105.74	$193.30	$834.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $87.96 / $261.89	Professional	26	$44.03	$87.96	$261.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.57 / $112.88 / $595.82	Professional	TC	$59.57	$112.88	$595.82
United Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $183.28 / $320.23	Professional		$103.70	$183.28	$320.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $79.16 / $104.34	Professional	26	$44.03	$79.16	$104.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.62 / $102.59 / $156.88	Professional	TC	$58.62	$102.59	$156.88