Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.10 / $42.24 / $64.42	Facility	26	$36.10	$42.24	$64.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $128.49 / $166.89	Professional		$109.29	$128.49	$166.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $41.16 / $53.04	Professional	26	$36.10	$41.16	$53.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.19 / $87.33 / $117.26	Professional	TC	$73.19	$87.33	$117.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $133.35 / $183.11	Professional		$45.66	$133.35	$183.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.15 / $61.15 / $69.94	Facility	26	$61.15	$61.15	$69.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $182.41 / $242.03	Professional		$135.63	$182.41	$242.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $60.34 / $74.25	Professional	26	$46.47	$60.34	$74.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.44 / $119.67 / $156.47	Professional	TC	$89.44	$119.67	$156.47
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 $125.28 / $184.09 / $1,086.26	Professional		$125.28	$184.09	$1,086.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.19 / $56.14 / $449.09	Professional	26	$40.19	$56.14	$449.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.14 / $144.40 / $867.64	Professional	TC	$83.14	$144.40	$867.64
United Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $151.19 / $252.00	Professional		$120.09	$151.19	$252.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $48.44 / $73.12	Professional	26	$37.65	$48.44	$73.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.25 / $102.70 / $201.40	Professional	TC	$78.25	$102.70	$201.40