Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.17 / $35.17 / $35.17	Facility	26	$35.17	$35.17	$35.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $95.25 / $210.65	Professional		$69.34	$95.25	$210.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.00 / $35.17 / $47.53	Professional	26	$26.00	$35.17	$47.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $60.08 / $95.70	Professional	TC	$34.52	$60.08	$95.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $235.16 / $258.69	Professional		$193.97	$235.16	$258.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $78.13 / $85.66	Professional	26	$64.23	$78.13	$85.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.60 / $157.03 / $174.91	Professional	TC	$130.60	$157.03	$174.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $217.36 / $339.66	Professional		$82.83	$217.36	$339.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.85 / $70.80 / $110.64	Professional	26	$37.85	$70.80	$110.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.84 / $146.56 / $229.02	Professional	TC	$47.84	$146.56	$229.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $165.22 / $687.40	Professional		$90.87	$165.22	$687.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $65.12 / $224.56	Professional	26	$35.72	$65.12	$224.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.72 / $95.86 / $472.45	Professional	TC	$52.72	$95.86	$472.45
United Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $163.06 / $227.70	Professional		$90.87	$163.06	$227.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $62.87 / $83.23	Professional	26	$35.72	$62.87	$83.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.72 / $99.70 / $178.07	Professional	TC	$52.72	$99.70	$178.07