Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.67 / $39.67 / $63.52	Facility	26	$39.67	$39.67	$63.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $202.06 / $324.68	Professional		$179.96	$202.06	$324.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $39.03 / $103.50	Professional	26	$28.30	$39.03	$103.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.09 / $169.96 / $420.97	Professional	TC	$145.09	$169.96	$420.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.53 / $456.02 / $478.23	Professional		$369.53	$456.02	$478.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.64 / $90.88 / $94.99	Professional	26	$73.64	$90.88	$94.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.89 / $365.14 / $382.93	Professional	TC	$295.89	$365.14	$382.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.27 / $43.27 / $43.27	Facility	26	$43.27	$43.27	$43.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.54 / $371.19 / $599.16	Professional		$208.54	$371.19	$599.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $71.23 / $114.98	Professional	26	$34.34	$71.23	$114.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.13 / $299.95 / $507.83	Professional	TC	$176.13	$299.95	$507.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.17 / $383.40 / $1,582.03	Professional		$220.17	$383.40	$1,582.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $74.70 / $422.69	Professional	26	$40.78	$74.70	$422.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $180.84 / $312.36 / $1,414.75	Professional	TC	$180.84	$312.36	$1,414.75
United Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $360.51 / $483.68	Professional		$203.55	$360.51	$483.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $72.77 / $100.88	Professional	26	$40.78	$72.77	$100.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.77 / $288.10 / $389.89	Professional	TC	$162.77	$288.10	$389.89