Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $91.20	Facility	26	$54.95	$54.95	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $269.15	Professional		$107.15	$138.04	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $104.71	Professional	26	$54.95	$64.57	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $64.57 / $131.83	Professional	TC	$52.48	$64.57	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $154.88	Professional		$58.88	$112.20	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $93.33	Facility	26	$81.28	$81.28	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $245.47	Professional		$117.49	$177.83	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $100.00	Professional	26	$56.23	$79.43	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $95.50 / $158.49	Professional	TC	$57.54	$95.50	$158.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $354.81 / $354.81	Facility	26	$138.04	$354.81	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $1,071.52	Professional		$109.65	$165.96	$1,071.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $371.54	Professional	26	$53.70	$72.44	$371.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $100.00 / $707.95	Professional	TC	$52.48	$100.00	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $245.47	Professional		$100.00	$134.90	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $97.72	Professional	26	$50.12	$64.57	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $67.61 / $147.91	Professional	TC	$48.98	$67.61	$147.91