Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $45.71 / $75.86	Facility	26	$44.67	$45.71	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $257.04	Professional		$123.03	$151.36	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $47.86 / $93.33	Professional	26	$39.81	$47.86	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $107.15 / $173.78	Professional	TC	$83.18	$107.15	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $346.74	Professional		$234.42	$316.23	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $109.65	Professional	26	$74.13	$100.00	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $213.80 / $239.88	Professional	TC	$162.18	$213.80	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $380.19	Professional		$144.54	$263.03	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $83.18 / $123.03	Professional	26	$47.86	$83.18	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $181.97 / $263.03	Professional	TC	$102.33	$181.97	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $1,096.48	Professional		$144.54	$245.47	$1,096.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $83.18 / $446.68	Professional	26	$45.71	$83.18	$446.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $162.18 / $870.96	Professional	TC	$97.72	$162.18	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $354.81	Professional		$144.54	$239.88	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $77.62 / $112.20	Professional	26	$45.71	$77.62	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $162.18 / $234.42	Professional	TC	$97.72	$162.18	$234.42