Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $83.68 / $83.68	Facility	26	$83.68	$83.68	$83.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $155.55 / $223.06	Professional		$127.52	$155.55	$223.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.69 / $83.62 / $112.83	Professional	26	$61.69	$83.62	$112.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $79.81 / $110.23	Professional	TC	$55.03	$79.81	$110.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.91 / $357.38 / $396.23	Professional		$295.91	$357.38	$396.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $150.75 / $183.33 / $201.03	Professional	26	$150.75	$183.33	$201.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.26 / $174.06 / $198.95	Professional	TC	$145.26	$174.06	$198.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $333.00 / $514.46	Professional		$128.41	$333.00	$514.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.35 / $169.74 / $260.00	Professional	26	$92.35	$169.74	$260.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.18 / $163.26 / $254.47	Professional	TC	$66.18	$163.26	$254.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $319.35 / $1,053.48	Professional		$175.76	$319.35	$1,053.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $156.29 / $509.36	Professional	26	$85.17	$156.29	$509.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.49 / $165.84 / $544.05	Professional	TC	$89.49	$165.84	$544.05
United Facility/Professional Professional Modifier Low / Median / High Price $192.45 / $314.91 / $415.60	Professional		$192.45	$314.91	$415.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.14 / $150.03 / $191.68	Professional	26	$68.14	$150.03	$191.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.59 / $162.63 / $217.05	Professional	TC	$90.59	$162.63	$217.05