Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.44 / $348.06 / $1,411.00	Professional		$260.44	$348.06	$1,411.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $91.48 / $167.29	Professional	26	$78.81	$91.48	$167.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.64 / $256.57 / $367.81	Professional	TC	$181.64	$256.57	$367.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $229.62 / $287.02	Professional		$172.21	$229.62	$287.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.62 / $68.83 / $86.04	Professional	26	$51.62	$68.83	$86.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.59 / $160.78 / $200.98	Professional	TC	$120.59	$160.78	$200.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $385.69 / $602.30	Professional		$269.77	$385.69	$602.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.47 / $105.53 / $187.44	Professional	26	$79.47	$105.53	$187.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.44 / $273.45 / $414.00	Professional	TC	$194.44	$273.45	$414.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $215.81 / $378.47 / $378.47	Facility	26	$215.81	$378.47	$378.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $362.48 / $2,227.92	Professional		$267.83	$362.48	$2,227.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.40 / $100.86 / $684.00	Professional	26	$78.40	$100.86	$684.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $188.16 / $261.00 / $1,600.96	Professional	TC	$188.16	$261.00	$1,600.96
United Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $324.00 / $593.48	Professional		$263.36	$324.00	$593.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.40 / $94.77 / $187.74	Professional	26	$78.40	$94.77	$187.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.08 / $234.71 / $418.83	Professional	TC	$181.08	$234.71	$418.83