Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $60.26 / $95.50	Facility	26	$57.54	$60.26	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $218.78	Professional		$79.43	$112.20	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $60.26 / $151.36	Professional	26	$51.29	$60.26	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $44.67 / $120.23	Professional	TC	$20.89	$44.67	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $245.47	Professional		$169.82	$223.87	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $141.25	Professional	26	$95.50	$125.89	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $95.50 / $107.15	Professional	TC	$72.44	$95.50	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $316.23	Professional		$144.54	$199.53	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $177.83	Professional	26	$81.28	$114.82	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $83.18 / $138.04	Professional	TC	$63.10	$83.18	$138.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $245.47	Facility	26	$128.82	$128.82	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $741.31	Professional		$81.28	$147.91	$741.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $104.71 / $354.81	Professional	26	$54.95	$104.71	$354.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $43.65 / $288.40	Professional	TC	$25.12	$43.65	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $234.42	Professional		$91.20	$154.88	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $104.71 / $144.54	Professional	26	$60.26	$104.71	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $60.26 / $87.10	Professional	TC	$28.84	$60.26	$87.10