Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $144.54	Facility	26	$138.04	$138.04	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $851.14	Professional		$323.59	$416.87	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $120.23 / $199.53	Professional	26	$95.50	$120.23	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $281.84 / $407.38	Professional	TC	$229.09	$281.84	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $354.81 / $501.19	Professional		$144.54	$354.81	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $707.95	Professional		$331.13	$467.74	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $141.25 / $218.78	Professional	26	$100.00	$141.25	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $331.13 / $446.68	Professional	TC	$234.42	$331.13	$446.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $2,691.53	Professional		$331.13	$389.05	$2,691.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $134.90 / $794.33	Professional	26	$107.15	$134.90	$794.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $257.04 / $1,905.46	Professional	TC	$213.80	$257.04	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $562.34	Professional		$331.13	$380.19	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $131.83 / $181.97	Professional	26	$109.65	$131.83	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $245.47 / $398.11	Professional	TC	$204.17	$245.47	$398.11