Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.54 / $376.15 / $1,876.56	Professional		$319.54	$376.15	$1,876.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.56 / $107.31 / $560.90	Professional	26	$98.56	$107.31	$560.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.98 / $245.28 / $1,315.67	Professional	TC	$220.98	$245.28	$1,315.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $281.70 / $352.14	Professional		$211.28	$281.70	$352.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.58 / $86.11 / $107.64	Professional	26	$64.58	$86.11	$107.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.69 / $195.60 / $244.50	Professional	TC	$146.69	$195.60	$244.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $406.52 / $712.39	Professional		$301.82	$406.52	$712.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.20 / $134.93 / $233.06	Professional	26	$99.20	$134.93	$233.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.26 / $276.94 / $476.53	Professional	TC	$188.26	$276.94	$476.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $268.94 / $268.94 / $473.80	Facility	26	$268.94	$268.94	$473.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.68 / $370.76 / $2,710.64	Professional		$287.68	$370.76	$2,710.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $101.31 / $126.84 / $785.60	Professional	26	$101.31	$126.84	$785.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.44 / $251.60 / $1,925.04	Professional	TC	$181.44	$251.60	$1,925.04
United Facility/Professional Professional Modifier Low / Median / High Price $282.11 / $365.57 / $701.47	Professional		$282.11	$365.57	$701.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.89 / $117.04 / $204.17	Professional	26	$98.89	$117.04	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.44 / $240.54 / $490.82	Professional	TC	$181.44	$240.54	$490.82