Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.14 / $26.14 / $60.59	Facility	26	$26.14	$26.14	$60.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $131.03 / $146.22	Professional		$101.65	$131.03	$146.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.61 / $29.12 / $40.39	Professional	26	$24.61	$29.12	$40.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $100.25 / $119.51	Professional	TC	$69.04	$100.25	$119.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $391.92 / $409.64	Professional		$317.58	$391.92	$409.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.25 / $82.00 / $89.90	Professional	26	$60.25	$82.00	$89.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $247.89 / $305.91 / $336.54	Professional	TC	$247.89	$305.91	$336.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.43 / $39.43 / $39.43	Facility	26	$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $319.56 / $515.83	Professional		$162.28	$319.56	$515.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $66.16 / $109.71	Professional	26	$32.22	$66.16	$109.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.15 / $251.60 / $425.95	Professional	TC	$135.15	$251.60	$425.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $301.50 / $1,341.64	Professional		$166.71	$301.50	$1,341.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $48.33 / $375.24	Professional	26	$29.51	$48.33	$375.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.58 / $251.62 / $1,090.58	Professional	TC	$138.58	$251.62	$1,090.58
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $285.88 / $393.52	Professional		$165.65	$285.88	$393.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $46.17 / $61.70	Professional	26	$28.32	$46.17	$61.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.58 / $235.59 / $331.82	Professional	TC	$138.58	$235.59	$331.82