Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.23 / $60.23 / $99.32	Facility	26	$60.23	$60.23	$99.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $171.92 / $237.71	Professional		$154.00	$171.92	$237.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $60.23 / $84.88	Professional	26	$53.70	$60.23	$84.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.12 / $111.69 / $161.05	Professional	TC	$97.12	$111.69	$161.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.65 / $711.62 / $814.01	Professional		$576.65	$711.62	$814.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.75 / $140.38 / $146.97	Professional	26	$113.75	$140.38	$146.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $462.90 / $571.24 / $669.78	Professional	TC	$462.90	$571.24	$669.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $66.70 / $66.70	Facility	26	$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $567.72 / $938.84	Professional		$278.70	$567.72	$938.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.12 / $114.48 / $180.38	Professional	26	$61.12	$114.48	$180.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.86 / $459.56 / $758.46	Professional	TC	$216.86	$459.56	$758.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $598.21 / $1,731.57	Professional		$317.95	$598.21	$1,731.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $111.46 / $367.94	Professional	26	$61.71	$111.46	$367.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $490.37 / $1,410.54	Professional	TC	$256.24	$490.37	$1,410.54
United Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $579.52 / $740.28	Professional		$317.95	$579.52	$740.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $107.84 / $142.58	Professional	26	$61.71	$107.84	$142.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $469.03 / $613.91	Professional	TC	$256.24	$469.03	$613.91