Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.44 / $75.78 / $75.78	Facility	26	$74.44	$75.78	$75.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $151.59 / $171.61	Professional		$130.08	$151.59	$171.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.13 / $77.36 / $86.63	Professional	26	$72.13	$77.36	$86.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.53 / $74.17 / $85.08	Professional	TC	$57.53	$74.17	$85.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $161.69 / $222.04	Professional		$79.45	$161.69	$222.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $152.69 / $226.80	Professional		$84.63	$152.69	$226.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.22 / $107.48 / $133.80	Professional	26	$72.22	$107.48	$133.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $87.03 / $117.86	Professional	TC	$43.65	$87.03	$117.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $183.99 / $358.77 / $358.77	Facility	26	$183.99	$358.77	$358.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $183.94 / $1,053.48	Professional		$133.19	$183.94	$1,053.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.40 / $93.69 / $509.36	Professional	26	$72.40	$93.69	$509.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.18 / $90.59 / $544.05	Professional	TC	$45.18	$90.59	$544.05
United Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $170.44 / $292.99	Professional		$133.19	$170.44	$292.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.40 / $89.30 / $162.93	Professional	26	$72.40	$89.30	$162.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.00 / $84.25 / $149.47	Professional	TC	$43.00	$84.25	$149.47