Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $64.57	Facility	26	$38.90	$38.90	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $295.12	Professional		$177.83	$204.17	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $89.13	Professional	26	$22.91	$38.90	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $169.82 / $251.19	Professional	TC	$144.54	$169.82	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $501.19	Professional		$346.74	$457.09	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $95.50	Professional	26	$64.57	$87.10	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $371.54 / $407.38	Professional	TC	$275.42	$371.54	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $575.44	Professional		$199.53	$371.54	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $61.66 / $100.00	Professional	26	$29.51	$61.66	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $302.00 / $512.86	Professional	TC	$165.96	$302.00	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $1,548.82	Professional		$208.93	$380.19	$1,548.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $70.79 / $389.05	Professional	26	$33.88	$70.79	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $316.23 / $1,412.54	Professional	TC	$169.82	$316.23	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $501.19	Professional		$208.93	$354.81	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $58.88 / $95.50	Professional	26	$27.54	$58.88	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $288.40 / $416.87	Professional	TC	$169.82	$288.40	$416.87