Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $25.12 / $40.74	Facility	26	$23.99	$25.12	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $363.08	Professional		$144.54	$177.83	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.12 / $52.48	Professional	26	$21.88	$25.12	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $154.88 / $251.19	Professional	TC	$123.03	$154.88	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $407.38	Professional		$275.42	$371.54	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $53.70 / $60.26	Professional	26	$40.74	$53.70	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $316.23 / $346.74	Professional	TC	$234.42	$316.23	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $467.74	Professional		$169.82	$302.00	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $42.66 / $61.66	Professional	26	$25.12	$42.66	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $257.04 / $407.38	Professional	TC	$144.54	$257.04	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $1,445.44	Professional		$165.96	$309.03	$1,445.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $46.77 / $295.12	Professional	26	$25.12	$46.77	$295.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $269.15 / $1,288.25	Professional	TC	$141.25	$269.15	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $398.11	Professional		$165.96	$295.12	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $40.74 / $58.88	Professional	26	$24.55	$40.74	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $251.19 / $346.74	Professional	TC	$141.25	$251.19	$346.74