Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.35 / $46.35 / $46.35	Facility	26	$46.35	$46.35	$46.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $137.85 / $249.53	Professional		$97.85	$137.85	$249.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.86 / $46.35 / $68.28	Professional	26	$33.86	$46.35	$68.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.99 / $89.76 / $128.37	Professional	TC	$63.99	$89.76	$128.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.58 / $273.06 / $303.39	Professional		$226.58	$273.06	$303.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.33 / $101.33 / $111.10	Professional	26	$83.33	$101.33	$111.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.83 / $171.73 / $194.79	Professional	TC	$142.83	$171.73	$194.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.46 / $266.33 / $393.87	Professional		$146.46	$266.33	$393.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $94.64 / $142.72	Professional	26	$52.25	$94.64	$142.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.20 / $169.82 / $251.15	Professional	TC	$94.20	$169.82	$251.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $256.00 / $944.58	Professional		$131.37	$256.00	$944.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.28 / $86.75 / $386.24	Professional	26	$47.28	$86.75	$386.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.09 / $172.84 / $782.04	Professional	TC	$84.09	$172.84	$782.04
United Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $238.94 / $296.81	Professional		$105.10	$238.94	$296.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.28 / $85.03 / $113.05	Professional	26	$47.28	$85.03	$113.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.09 / $163.22 / $201.45	Professional	TC	$84.09	$163.22	$201.45