Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.68 / $118.65 / $173.33	Facility	26	$64.68	$118.65	$173.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $155.06 / $421.78	Professional		$125.71	$155.06	$421.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $47.28 / $124.53	Professional	26	$40.18	$47.28	$124.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.54 / $109.76 / $254.45	Professional	TC	$85.54	$109.76	$254.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $131.52 / $164.40	Professional		$98.64	$131.52	$164.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.54 / $51.40 / $64.25	Professional	26	$38.54	$51.40	$64.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.09 / $80.12 / $100.15	Professional	TC	$60.09	$80.12	$100.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $49.06 / $49.06	Facility	26	$49.06	$49.06	$49.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $192.43 / $301.73	Professional		$137.31	$192.43	$301.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.44 / $56.13 / $98.05	Professional	26	$44.44	$56.13	$98.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.91 / $139.27 / $211.16	Professional	TC	$93.91	$139.27	$211.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.58 / $214.35 / $214.35	Facility	26	$101.58	$214.35	$214.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $191.52 / $1,086.26	Professional		$124.45	$191.52	$1,086.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $55.03 / $449.09	Professional	26	$40.96	$55.03	$449.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.82 / $136.80 / $867.64	Professional	TC	$83.82	$136.80	$867.64
United Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $166.09 / $284.77	Professional		$123.69	$166.09	$284.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.68 / $49.95 / $89.28	Professional	26	$39.68	$49.95	$89.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.59 / $116.34 / $195.13	Professional	TC	$81.59	$116.34	$195.13