Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $39.81	Facility	26	$23.99	$23.99	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $269.15	Professional		$112.20	$138.04	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $23.99 / $51.29	Professional	26	$18.62	$23.99	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $109.65 / $194.98	Professional	TC	$91.20	$109.65	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $316.23	Professional		$213.80	$281.84	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $53.70 / $58.88	Professional	26	$39.81	$53.70	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $229.09 / $257.04	Professional	TC	$173.78	$229.09	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $389.05	Professional		$131.83	$234.42	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $41.69 / $60.26	Professional	26	$22.39	$41.69	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $190.55 / $323.59	Professional	TC	$104.71	$190.55	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $1,047.13	Professional		$131.83	$239.88	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $44.67 / $302.00	Professional	26	$23.99	$44.67	$302.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $190.55 / $912.01	Professional	TC	$104.71	$190.55	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $316.23	Professional		$131.83	$223.87	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $39.81 / $60.26	Professional	26	$22.39	$39.81	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $181.97 / $251.19	Professional	TC	$104.71	$181.97	$251.19