Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $44.67 / $72.44	Facility	26	$42.66	$44.67	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $173.78	Professional		$60.26	$93.33	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $97.72	Professional	26	$38.02	$44.67	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $44.67 / $75.86	Professional	TC	$19.95	$44.67	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $213.80	Professional		$144.54	$190.55	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $104.71	Professional	26	$70.79	$93.33	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $97.72 / $107.15	Professional	TC	$74.13	$97.72	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $269.15	Professional		$125.89	$165.96	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $131.83	Professional	26	$60.26	$85.11	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $83.18 / $141.25	Professional	TC	$63.10	$83.18	$141.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $204.17	Facility	26	$95.50	$95.50	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $676.08	Professional		$70.79	$123.03	$676.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $79.43 / $269.15	Professional	26	$43.65	$79.43	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $44.67 / $288.40	Professional	TC	$23.99	$44.67	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $194.98	Professional		$75.86	$128.82	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $77.62 / $107.15	Professional	26	$46.77	$77.62	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $60.26 / $89.13	Professional	TC	$28.18	$60.26	$89.13