Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.82 / $135.82 / $135.82	Facility		$135.82	$135.82	$135.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.95 / $23.95 / $23.95	Facility	26	$23.95	$23.95	$23.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $135.68 / $223.86	Professional		$113.82	$135.68	$223.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $15.90 / $32.56	Professional	26	$11.77	$15.90	$32.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.35 / $111.87 / $189.87	Professional	TC	$95.35	$111.87	$189.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.49 / $364.00 / $372.49	Professional		$328.49	$364.00	$372.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.47 / $56.95 / $58.28	Professional	26	$51.47	$56.95	$58.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $277.02 / $307.05 / $314.22	Professional	TC	$277.02	$307.05	$314.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $296.83 / $482.38	Professional		$155.16	$296.83	$482.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $43.75 / $69.70	Professional	26	$18.98	$43.75	$69.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.22 / $259.01 / $412.68	Professional	TC	$135.22	$259.01	$412.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.21 / $201.30 / $329.83	Facility		$120.21	$201.30	$329.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $272.39 / $1,197.25	Professional		$158.43	$272.39	$1,197.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.34 / $40.49 / $198.13	Professional	26	$23.34	$40.49	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $136.25 / $231.90 / $1,126.14	Professional	TC	$136.25	$231.90	$1,126.14
United Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $221.80 / $337.54	Professional		$147.26	$221.80	$337.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.78 / $33.35 / $51.69	Professional	26	$21.78	$33.35	$51.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.81 / $206.08 / $295.02	Professional	TC	$132.81	$206.08	$295.02