Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.97 / $25.97 / $41.94	Facility	26	$25.97	$25.97	$41.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $110.26 / $177.46	Professional		$100.13	$110.26	$177.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.89 / $28.83 / $129.94	Professional	26	$23.89	$28.83	$129.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.16 / $86.57 / $234.09	Professional	TC	$74.16	$86.57	$234.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.50 / $236.94 / $248.48	Professional		$210.50	$236.94	$248.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.00 / $59.24 / $61.91	Professional	26	$48.00	$59.24	$61.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.00 / $177.70 / $186.36	Professional	TC	$144.00	$177.70	$186.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.20 / $28.20 / $28.20	Facility	26	$28.20	$28.20	$28.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $204.85 / $311.19	Professional		$112.69	$204.85	$311.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.31 / $50.00 / $75.95	Professional	26	$30.31	$50.00	$75.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.04 / $154.85 / $235.24	Professional	TC	$85.04	$154.85	$235.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $216.11 / $698.76	Professional		$110.76	$216.11	$698.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.46 / $48.58 / $279.51	Professional	26	$28.46	$48.58	$279.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.59 / $166.83 / $479.00	Professional	TC	$81.59	$166.83	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $183.69 / $241.79	Professional		$100.69	$183.69	$241.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $46.64 / $62.17	Professional	26	$26.35	$46.64	$62.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.40 / $154.63 / $191.24	Professional	TC	$74.40	$154.63	$191.24