Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.44 / $57.38 / $59.68	Facility	26	$55.44	$57.38	$59.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $108.31 / $191.59	Professional		$105.17	$108.31	$191.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.73 / $56.60 / $72.11	Professional	26	$53.73	$56.60	$72.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.72 / $53.11 / $125.43	Professional	TC	$49.72	$53.11	$125.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $113.40 / $155.71	Professional		$59.15	$113.40	$155.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.48 / $80.48 / $92.70	Facility	26	$80.48	$80.48	$92.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $172.92 / $257.83	Professional		$121.98	$172.92	$257.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.16 / $79.73 / $97.82	Professional	26	$61.16	$79.73	$97.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.14 / $83.83 / $160.01	Professional	TC	$58.14	$83.83	$160.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $139.35 / $352.88 / $352.88	Facility	26	$139.35	$352.88	$352.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $176.76 / $1,060.27	Professional		$112.38	$176.76	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.06 / $369.36	Professional	26	$54.95	$74.06	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.69 / $110.63 / $707.89	Professional	TC	$53.69	$110.63	$707.89
United Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $139.94 / $243.08	Professional		$108.64	$139.94	$243.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.08 / $69.23 / $113.23	Professional	26	$54.08	$69.23	$113.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.45 / $70.97 / $147.36	Professional	TC	$52.45	$70.97	$147.36