Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.70 / $43.65	Facility	26	$25.12	$25.70	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $257.04	Professional		$89.13	$123.03	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $34.67 / $72.44	Professional	26	$22.91	$34.67	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $89.13 / $239.88	Professional	TC	$67.61	$89.13	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $251.19	Professional		$169.82	$223.87	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $63.10	Professional	26	$42.66	$56.23	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $169.82 / $186.21	Professional	TC	$128.82	$169.82	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $275.42	Professional		$102.33	$186.21	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $46.77 / $69.18	Professional	26	$27.54	$46.77	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $141.25 / $204.17	Professional	TC	$74.13	$141.25	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $691.83	Professional		$102.33	$213.80	$691.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $46.77 / $281.84	Professional	26	$26.30	$46.77	$281.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $162.18 / $478.63	Professional	TC	$74.13	$162.18	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $251.19	Professional		$100.00	$177.83	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $43.65 / $64.57	Professional	26	$26.30	$43.65	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $134.90 / $190.55	Professional	TC	$74.13	$134.90	$190.55