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 $61.66 / $89.13 / $169.82	Professional		$61.66	$89.13	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $107.15	Professional	26	$38.02	$48.98	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $42.66 / $95.50	Professional	TC	$18.20	$42.66	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $199.53	Professional		$138.04	$181.97	$199.53
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 $66.07 / $87.10 / $97.72	Professional	TC	$66.07	$87.10	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $257.04	Professional		$120.23	$154.88	$257.04
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 $57.54 / $75.86 / $125.89	Professional	TC	$57.54	$75.86	$125.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $190.55	Facility	26	$95.50	$95.50	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $616.60	Professional		$66.07	$114.82	$616.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $77.62 / $263.03	Professional	26	$43.65	$77.62	$263.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.90 / $263.03	Professional	TC	$21.88	$38.90	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $186.21	Professional		$69.18	$123.03	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $77.62 / $107.15	Professional	26	$43.65	$77.62	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $54.95 / $79.43	Professional	TC	$24.55	$54.95	$79.43