Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.05 / $57.51 / $89.88	Facility	26	$50.05	$57.51	$89.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $87.42 / $396.00	Professional		$86.39	$87.42	$396.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.41 / $50.65 / $268.00	Professional	26	$48.41	$50.65	$268.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.56 / $36.77 / $79.88	Professional	TC	$33.56	$36.77	$79.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $99.75 / $136.97	Professional		$69.48	$99.75	$136.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $128.85 / $171.29	Professional		$93.11	$128.85	$171.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.71 / $84.60 / $118.38	Professional	26	$59.71	$84.60	$118.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.02 / $42.98 / $60.00	Professional	TC	$27.02	$42.98	$60.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $140.60 / $140.60 / $284.70	Facility	26	$140.60	$140.60	$284.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $107.16 / $230.61	Professional		$81.13	$107.16	$230.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.92 / $68.20 / $382.35	Professional	26	$53.92	$68.20	$382.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $36.45 / $307.58	Professional	TC	$25.52	$36.45	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $101.41 / $160.75	Professional		$81.13	$101.41	$160.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $65.09 / $113.68	Professional	26	$51.97	$65.09	$113.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $34.63 / $59.41	Professional	TC	$25.52	$34.63	$59.41