Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.85 / $39.85 / $64.08	Facility	26	$39.85	$39.85	$64.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $219.03 / $334.50	Professional		$134.28	$219.03	$334.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.13 / $56.89 / $101.00	Professional	26	$37.13	$56.89	$101.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.68 / $162.12 / $250.91	Professional	TC	$99.68	$162.12	$250.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $383.81 / $402.05	Professional		$311.01	$383.81	$402.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.64 / $90.88 / $94.99	Professional	26	$73.64	$90.88	$94.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.37 / $292.92 / $307.20	Professional	TC	$237.37	$292.92	$307.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $313.69 / $507.91	Professional		$197.95	$313.69	$507.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.51 / $77.88 / $121.70	Professional	26	$45.51	$77.88	$121.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.63 / $241.50 / $389.61	Professional	TC	$134.63	$241.50	$389.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.71 / $310.19 / $1,354.08	Professional		$181.71	$310.19	$1,354.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.13 / $79.67 / $335.64	Professional	26	$52.13	$79.67	$335.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $137.60 / $237.67 / $1,018.44	Professional	TC	$137.60	$237.67	$1,018.44
United Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $297.33 / $397.53	Professional		$167.46	$297.33	$397.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.11 / $72.18 / $94.34	Professional	26	$44.11	$72.18	$94.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.03 / $231.70 / $303.19	Professional	TC	$136.03	$231.70	$303.19