Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.58 / $35.58 / $35.58	Facility	26	$35.58	$35.58	$35.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.65 / $233.39 / $300.39	Professional		$223.65	$233.39	$300.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $36.32 / $46.36	Professional	26	$34.34	$36.32	$46.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $188.07 / $199.05 / $260.68	Professional	TC	$188.07	$199.05	$260.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $244.65 / $335.94	Professional		$37.45	$244.65	$335.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.63 / $57.63 / $57.63	Facility	26	$57.63	$57.63	$57.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $329.38 / $386.07	Professional		$249.50	$329.38	$386.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.63 / $50.19 / $61.35	Professional	26	$38.63	$50.19	$61.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.83 / $265.79 / $324.72	Professional	TC	$208.83	$265.79	$324.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $171.05 / $171.05	Facility	26	$86.46	$171.05	$171.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.99 / $291.93 / $1,627.28	Professional		$233.99	$291.93	$1,627.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $46.21 / $234.31	Professional	26	$34.54	$46.21	$234.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $197.24 / $266.85 / $1,392.98	Professional	TC	$197.24	$266.85	$1,392.98
United Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $285.33 / $487.19	Professional		$230.99	$285.33	$487.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $42.23 / $71.17	Professional	26	$33.75	$42.23	$71.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.24 / $244.34 / $416.02	Professional	TC	$197.24	$244.34	$416.02