Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.32 / $144.32 / $169.63	Facility	26	$144.32	$144.32	$169.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.40 / $414.40 / $582.26	Professional		$414.40	$414.40	$582.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.27 / $120.27 / $169.63	Professional	26	$120.27	$120.27	$169.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $294.13 / $294.13 / $412.63	Professional	TC	$294.13	$294.13	$412.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $502.16 / $502.16	Professional		$426.84	$502.16	$502.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.17 / $511.00 / $638.40	Professional		$337.17	$511.00	$638.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.66 / $155.00 / $219.67	Professional	26	$101.66	$155.00	$219.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.47 / $350.63 / $435.17	Professional	TC	$207.47	$350.63	$435.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $268.94 / $268.94 / $268.94	Facility	26	$268.94	$268.94	$268.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.74 / $413.49 / $2,710.64	Professional		$338.74	$413.49	$2,710.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.16 / $148.53 / $785.60	Professional	26	$112.16	$148.53	$785.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $214.47 / $280.08 / $1,925.04	Professional	TC	$214.47	$280.08	$1,925.04
United Facility/Professional Professional Modifier Low / Median / High Price $330.26 / $410.86 / $727.67	Professional		$330.26	$410.86	$727.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $131.38 / $219.45	Professional	26	$111.16	$131.38	$219.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.28 / $256.98 / $496.07	Professional	TC	$208.28	$256.98	$496.07