Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.00 / $46.00 / $46.00	Facility	26	$46.00	$46.00	$46.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $87.27 / $142.41	Professional		$68.68	$87.27	$142.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.86 / $46.00 / $67.93	Professional	26	$33.86	$46.00	$67.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.82 / $40.96 / $70.45	Professional	TC	$34.82	$40.96	$70.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $200.35 / $220.40	Professional		$157.62	$200.35	$220.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.69 / $100.56 / $110.26	Professional	26	$82.69	$100.56	$110.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.34 / $99.79 / $110.25	Professional	TC	$82.34	$99.79	$110.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $184.08 / $287.66	Professional		$68.94	$184.08	$287.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.17 / $94.14 / $142.72	Professional	26	$51.17	$94.14	$142.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.22 / $92.75 / $144.94	Professional	TC	$35.22	$92.75	$144.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $159.51 / $567.30	Professional		$87.70	$159.51	$567.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.56 / $85.72 / $318.67	Professional	26	$46.56	$85.72	$318.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.14 / $75.12 / $318.67	Professional	TC	$41.14	$75.12	$318.67
United Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $159.51 / $207.50	Professional		$87.70	$159.51	$207.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.56 / $82.57 / $109.25	Professional	26	$46.56	$82.57	$109.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.14 / $73.65 / $98.25	Professional	TC	$41.14	$73.65	$98.25