Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.28 / $85.28 / $85.28	Facility	26	$85.28	$85.28	$85.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.23 / $303.52 / $382.87	Professional		$294.23	$303.52	$382.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.08 / $85.28 / $100.63	Professional	26	$80.08	$85.28	$100.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.95 / $223.45 / $282.23	Professional	TC	$208.95	$223.45	$282.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.05 / $643.60 / $746.87	Professional		$547.05	$643.60	$746.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $160.85 / $193.39 / $212.03	Professional	26	$160.85	$193.39	$212.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $382.68 / $450.21 / $541.29	Professional	TC	$382.68	$450.21	$541.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.60 / $682.09 / $880.82	Professional		$367.60	$682.09	$880.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.65 / $180.30 / $254.22	Professional	26	$102.65	$180.30	$254.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $264.95 / $444.39 / $626.60	Professional	TC	$264.95	$444.39	$626.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $532.41 / $772.37	Professional		$297.02	$532.41	$772.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $161.51 / $221.42	Professional	26	$89.13	$161.51	$221.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $209.32 / $360.40 / $550.95	Professional	TC	$209.32	$360.40	$550.95
United Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $539.77 / $777.16	Professional		$297.02	$539.77	$777.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.61 / $172.02 / $221.42	Professional	26	$94.61	$172.02	$221.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.32 / $370.50 / $550.95	Professional	TC	$209.32	$370.50	$550.95