Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Facility		$67.61	$67.61	$74.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $19.95	Facility	26	$18.20	$18.20	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $234.42	Professional		$61.66	$75.86	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $18.20 / $36.31	Professional	26	$16.60	$18.20	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $123.03	Professional	TC	$42.66	$52.48	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $169.82	Professional		$114.82	$154.88	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $46.77	Professional	26	$31.62	$41.69	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $112.20 / $123.03	Professional	TC	$83.18	$112.20	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $208.93	Professional		$63.10	$131.83	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $34.67 / $48.98	Professional	26	$19.95	$34.67	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $97.72 / $154.88	Professional	TC	$43.65	$97.72	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $204.17	Facility		$67.61	$104.71	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $812.83	Professional		$85.11	$181.97	$812.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $34.67 / $416.87	Professional	26	$19.05	$34.67	$416.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $144.54 / $562.34	Professional	TC	$67.61	$144.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $239.88	Professional		$85.11	$144.54	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $33.88 / $46.77	Professional	26	$19.05	$33.88	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $199.53	Professional	TC	$67.61	$109.65	$199.53