Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.47 / $43.47 / $69.61	Facility	26	$43.47	$43.47	$69.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $72.09 / $106.04	Professional		$65.54	$72.09	$106.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $45.09 / $114.85	Professional	26	$42.00	$45.09	$114.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $30.85 / $65.80	Professional	TC	$23.28	$30.85	$65.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $181.78 / $200.18	Professional		$146.72	$181.78	$200.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.84 / $93.60 / $102.62	Professional	26	$77.84	$93.60	$102.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.34 / $88.19 / $98.83	Professional	TC	$73.34	$88.19	$98.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $167.09 / $265.27	Professional		$119.04	$167.09	$265.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.53 / $89.78 / $134.88	Professional	26	$60.53	$89.78	$134.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.51 / $82.13 / $130.38	Professional	TC	$58.51	$82.13	$130.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $95.51 / $190.77	Facility	26	$95.51	$95.51	$190.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $119.41 / $622.15	Professional		$69.95	$119.41	$622.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $80.63 / $262.07	Professional	26	$44.03	$80.63	$262.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $40.35 / $264.17	Professional	TC	$22.72	$40.35	$264.17
United Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $122.28 / $165.16	Professional		$69.95	$122.28	$165.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $74.70 / $96.87	Professional	26	$44.03	$74.70	$96.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $51.60 / $73.98	Professional	TC	$24.78	$51.60	$73.98