Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.60 / $115.60 / $136.07	Facility	26	$115.60	$115.60	$136.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $341.44 / $479.85	Professional		$319.01	$341.44	$479.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.67 / $96.33 / $136.07	Professional	26	$87.67	$96.33	$136.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.34 / $245.11 / $343.78	Professional	TC	$231.34	$245.11	$343.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.48 / $385.27 / $385.27	Professional		$327.48	$385.27	$385.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.60 / $458.22 / $535.10	Professional		$284.60	$458.22	$535.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.73 / $127.57 / $174.97	Professional	26	$81.73	$127.57	$174.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.58 / $304.70 / $384.00	Professional	TC	$203.58	$304.70	$384.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $215.81 / $215.81 / $215.81	Facility	26	$215.81	$215.81	$215.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $431.68 / $2,227.92	Professional		$297.02	$431.68	$2,227.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.47 / $117.21 / $684.00	Professional	26	$88.47	$117.21	$684.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $208.78 / $321.57 / $1,600.96	Professional	TC	$208.78	$321.57	$1,600.96
United Facility/Professional Professional Modifier Low / Median / High Price $293.24 / $405.11 / $605.91	Professional		$293.24	$405.11	$605.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.70 / $108.10 / $175.78	Professional	26	$87.70	$108.10	$175.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.75 / $272.12 / $423.10	Professional	TC	$200.75	$272.12	$423.10