Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $87.10	Facility	26	$83.18	$83.18	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $245.47	Professional		$134.90	$169.82	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $83.18 / $181.97	Professional	26	$74.13	$83.18	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $87.10 / $120.23	Professional	TC	$57.54	$87.10	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $398.11	Professional		$269.15	$354.81	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $181.97 / $204.17	Professional	26	$138.04	$181.97	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $173.78 / $194.98	Professional	TC	$131.83	$173.78	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $436.52	Professional		$128.82	$302.00	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $218.78	Professional	26	$89.13	$151.36	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $147.91 / $239.88	Professional	TC	$56.23	$147.91	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $1,047.13	Professional		$173.78	$316.23	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $154.88 / $512.86	Professional	26	$85.11	$154.88	$512.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $165.96 / $549.54	Professional	TC	$79.43	$165.96	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $426.58	Professional		$173.78	$316.23	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $151.36 / $204.17	Professional	26	$85.11	$151.36	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $162.18 / $213.80	Professional	TC	$72.44	$162.18	$213.80