Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.31 / $35.94 / $56.91	Facility	26	$21.31	$35.94	$56.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $182.95 / $275.33	Professional		$175.71	$182.95	$275.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $35.94 / $52.65	Professional	26	$23.91	$35.94	$52.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $139.77 / $147.49 / $218.03	Professional	TC	$139.77	$147.49	$218.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $189.35 / $260.00	Professional		$38.70	$189.35	$260.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.12 / $29.12 / $34.79	Facility	26	$29.12	$29.12	$34.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $256.01 / $339.62	Professional		$196.70	$256.01	$339.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.58 / $39.17 / $62.41	Professional	26	$25.58	$39.17	$62.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.69 / $212.54 / $306.13	Professional	TC	$159.69	$212.54	$306.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.53 / $169.56 / $169.56	Facility	26	$87.53	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.73 / $251.56 / $1,546.49	Professional		$187.73	$251.56	$1,546.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $41.50 / $391.31	Professional	26	$26.41	$41.50	$391.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.26 / $252.83 / $1,417.87	Professional	TC	$147.26	$252.83	$1,417.87
United Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $220.92 / $390.59	Professional		$178.84	$220.92	$390.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.81 / $39.90 / $82.81	Professional	26	$25.81	$39.90	$82.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.87 / $177.72 / $319.05	Professional	TC	$143.87	$177.72	$319.05