Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $1,023.29	Professional		$316.23	$407.38	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $120.23 / $263.03	Professional	26	$100.00	$120.23	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $281.84 / $549.54	Professional	TC	$208.93	$281.84	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $891.25	Professional		$281.84	$316.23	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $97.72 / $275.42	Professional	26	$87.10	$97.72	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $218.78 / $630.96	Professional	TC	$194.98	$218.78	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $707.95	Professional		$302.00	$407.38	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $138.04 / $223.87	Professional	26	$102.33	$138.04	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $478.63	Professional	TC	$186.21	$281.84	$478.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $478.63	Facility	26	$269.15	$269.15	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $2,691.53	Professional		$281.84	$380.19	$2,691.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $794.33	Professional	26	$97.72	$128.82	$794.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $257.04 / $1,905.46	Professional	TC	$181.97	$257.04	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $676.08	Professional		$281.84	$346.74	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $117.49 / $213.80	Professional	26	$95.50	$117.49	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $229.09 / $467.74	Professional	TC	$177.83	$229.09	$467.74