Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $67.48 / $67.48	Facility		$67.48	$67.48	$67.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.94 / $18.94 / $18.94	Facility	26	$18.94	$18.94	$18.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $74.44 / $153.12	Professional		$50.70	$74.44	$153.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.04 / $18.55 / $28.45	Professional	26	$14.04	$18.55	$28.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $54.44 / $129.94	Professional	TC	$36.65	$54.44	$129.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $153.16 / $168.48	Professional		$125.94	$153.16	$168.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.35 / $41.77 / $45.80	Professional	26	$34.35	$41.77	$45.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.90 / $111.39 / $122.68	Professional	TC	$91.90	$111.39	$122.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $149.63 / $221.28	Professional		$75.81	$149.63	$221.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.52 / $38.39 / $58.64	Professional	26	$20.52	$38.39	$58.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.52 / $111.16 / $162.63	Professional	TC	$54.52	$111.16	$162.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $114.71 / $151.46	Facility		$67.48	$114.71	$151.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $183.20 / $803.55	Professional		$84.81	$183.20	$803.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $35.40 / $416.07	Professional	26	$19.13	$35.40	$416.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.90 / $145.60 / $567.25	Professional	TC	$60.90	$145.60	$567.25
United Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $145.35 / $248.63	Professional		$84.81	$145.35	$248.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $33.95 / $45.03	Professional	26	$19.13	$33.95	$45.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $116.49 / $212.80	Professional	TC	$48.72	$116.49	$212.80