Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.83 / $135.83 / $135.83	Facility	26	$135.83	$135.83	$135.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $234.69 / $605.20	Professional		$198.06	$234.69	$605.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.42 / $132.43 / $202.74	Professional	26	$119.42	$132.43	$202.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.61 / $93.56 / $111.55	Professional	TC	$66.61	$93.56	$111.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.28 / $481.93 / $530.14	Professional		$396.28	$481.93	$530.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $245.53 / $298.58 / $327.38	Professional	26	$245.53	$298.58	$327.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.47 / $183.33 / $204.75	Professional	TC	$152.47	$183.33	$204.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.12 / $451.89 / $690.38	Professional		$261.12	$451.89	$690.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $152.78 / $276.04 / $422.64	Professional	26	$152.78	$276.04	$422.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.38 / $180.54 / $267.74	Professional	TC	$108.38	$180.54	$267.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.60 / $426.44 / $1,374.92	Professional		$260.60	$426.44	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $149.05 / $257.45 / $824.31	Professional	26	$149.05	$257.45	$824.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.39 / $190.42 / $550.61	Professional	TC	$106.39	$190.42	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $260.60 / $414.57 / $536.80	Professional		$260.60	$414.57	$536.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $137.50 / $243.90 / $322.70	Professional	26	$137.50	$243.90	$322.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.72 / $177.08 / $231.81	Professional	TC	$96.72	$177.08	$231.81