Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.50 / $29.37 / $30.54	Facility	26	$23.50	$29.37	$30.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $120.13 / $156.99	Professional		$101.65	$120.13	$156.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $23.99 / $32.61	Professional	26	$22.91	$23.99	$32.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $96.14 / $126.40	Professional	TC	$69.04	$96.14	$126.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $64.36 / $210.02	Professional		$24.85	$64.36	$210.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.31 / $39.31 / $47.50	Facility	26	$39.31	$39.31	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $208.29 / $293.42	Professional		$158.63	$208.29	$293.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.61 / $37.56 / $49.08	Professional	26	$27.61	$37.56	$49.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.98 / $171.88 / $247.87	Professional	TC	$125.98	$171.88	$247.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $82.93 / $160.47 / $160.47	Facility	26	$82.93	$160.47	$160.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $201.25 / $1,341.64	Professional		$140.80	$201.25	$1,341.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.56 / $36.45 / $375.24	Professional	26	$23.56	$36.45	$375.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.79 / $199.09 / $1,090.58	Professional	TC	$117.79	$199.09	$1,090.58
United Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $177.06 / $312.47	Professional		$140.80	$177.06	$312.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $30.69 / $48.53	Professional	26	$23.01	$30.69	$48.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.14 / $148.29 / $254.65	Professional	TC	$115.14	$148.29	$254.65