Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.22 / $36.22 / $36.22	Facility	26	$36.22	$36.22	$36.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $118.84 / $133.56	Professional		$79.80	$118.84	$133.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.22 / $35.78 / $47.50	Professional	26	$29.22	$35.78	$47.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.58 / $83.06 / $96.91	Professional	TC	$50.58	$83.06	$96.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $135.69 / $148.99	Professional		$50.77	$135.69	$148.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.72 / $51.72 / $64.44	Facility	26	$51.72	$51.72	$64.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $150.91 / $202.44	Professional		$105.31	$150.91	$202.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $56.14 / $71.62	Professional	26	$42.48	$56.14	$71.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.87 / $91.93 / $130.82	Professional	TC	$62.87	$91.93	$130.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $96.14 / $214.20 / $214.20	Facility	26	$96.14	$214.20	$214.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $148.58 / $834.21	Professional		$95.17	$148.58	$834.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $50.63 / $261.89	Professional	26	$38.31	$50.63	$261.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.45 / $86.34 / $595.82	Professional	TC	$52.45	$86.34	$595.82
United Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $114.89 / $200.48	Professional		$91.99	$114.89	$200.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $45.35 / $76.31	Professional	26	$38.31	$45.35	$76.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.22 / $64.80 / $117.25	Professional	TC	$51.22	$64.80	$117.25