Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.43 / $19.53 / $21.29	Facility	26	$12.43	$19.53	$21.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $115.56 / $197.00	Professional		$76.75	$115.56	$197.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $12.46 / $33.01	Professional	26	$11.01	$12.46	$33.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.77 / $42.94 / $45.86	Professional	52	$37.77	$42.94	$45.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.70 / $104.06 / $180.24	Professional	TC	$64.70	$104.06	$180.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $198.80 / $208.48	Professional		$161.09	$198.80	$208.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $28.40 / $29.69	Professional	26	$23.01	$28.40	$29.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.08 / $170.40 / $178.70	Professional	TC	$138.08	$170.40	$178.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.54 / $13.54 / $13.54	Facility	26	$13.54	$13.54	$13.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $170.63 / $260.55	Professional		$89.82	$170.63	$260.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $22.92 / $34.81	Professional	26	$12.76	$22.92	$34.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.01 / $140.44 / $226.69	Professional	TC	$76.01	$140.44	$226.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $167.93 / $768.54	Professional		$98.37	$167.93	$768.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $23.40 / $267.48	Professional	26	$12.99	$23.40	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.70 / $144.59 / $698.48	Professional	TC	$84.70	$144.59	$698.48
United Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $153.01 / $205.58	Professional		$86.62	$153.01	$205.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $22.37 / $29.27	Professional	26	$12.99	$22.37	$29.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.63 / $140.75 / $176.31	Professional	TC	$73.63	$140.75	$176.31