Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.64 / $45.64 / $73.67	Facility	26	$45.64	$45.64	$73.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $153.15 / $278.75	Professional		$140.29	$153.15	$278.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.11 / $46.93 / $69.34	Professional	26	$45.11	$46.93	$69.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.16 / $106.59 / $209.40	Professional	TC	$94.16	$106.59	$209.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.64 / $313.29 / $344.64	Professional		$203.64	$313.29	$344.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.16 / $99.02 / $108.56	Professional	26	$84.16	$99.02	$108.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.13 / $224.76 / $235.71	Professional	TC	$182.13	$224.76	$235.71
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 $169.26 / $272.97 / $432.50	Professional		$169.26	$272.97	$432.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $88.19 / $133.97	Professional	26	$52.65	$88.19	$133.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.08 / $192.51 / $298.52	Professional	TC	$116.08	$192.51	$298.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $262.12 / $1,086.26	Professional		$144.16	$262.12	$1,086.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $85.35 / $449.09	Professional	26	$49.34	$85.35	$449.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.81 / $171.22 / $867.64	Professional	TC	$97.81	$171.22	$867.64
United Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $249.89 / $345.22	Professional		$144.00	$249.89	$345.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $81.12 / $109.30	Professional	26	$46.19	$81.12	$109.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.81 / $167.13 / $235.92	Professional	TC	$97.81	$167.13	$235.92