Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.95 / $44.92 / $46.72	Facility	26	$42.95	$44.92	$46.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $245.09 / $325.42	Professional		$195.81	$245.09	$325.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.71 / $44.14 / $56.28	Professional	26	$41.71	$44.14	$56.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $201.25 / $270.00	Professional	TC	$151.80	$201.25	$270.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $254.45 / $349.40	Professional		$46.81	$254.45	$349.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.19 / $58.19 / $72.70	Facility	26	$58.19	$58.19	$72.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.68 / $344.64 / $479.66	Professional		$256.68	$344.64	$479.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.36 / $60.93 / $73.62	Professional	26	$47.36	$60.93	$73.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.87 / $284.24 / $411.35	Professional	TC	$211.87	$284.24	$411.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.57 / $202.83 / $202.83	Facility	26	$104.57	$202.83	$202.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.21 / $333.71 / $1,904.10	Professional		$236.21	$333.71	$1,904.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.39 / $56.03 / $588.72	Professional	26	$42.39	$56.03	$588.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.37 / $308.61 / $1,640.58	Professional	TC	$199.37	$308.61	$1,640.58
United Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $301.33 / $498.21	Professional		$239.28	$301.33	$498.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $51.16 / $87.35	Professional	26	$41.42	$51.16	$87.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.79 / $263.54 / $426.41	Professional	TC	$194.79	$263.54	$426.41