Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.25 / $107.25 / $107.25	Facility	26	$107.25	$107.25	$107.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.29 / $352.29 / $368.09	Professional		$352.29	$352.29	$368.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.86 / $107.25 / $107.25	Professional	26	$99.86	$107.25	$107.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.04 / $245.04 / $268.23	Professional	TC	$245.04	$245.04	$268.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.33 / $789.80 / $910.17	Professional		$671.33	$789.80	$910.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $201.37 / $242.12 / $265.45	Professional	26	$201.37	$242.12	$265.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $465.53 / $547.67 / $647.94	Professional	TC	$465.53	$547.67	$647.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.10 / $836.48 / $1,080.19	Professional		$446.10	$836.48	$1,080.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.13 / $224.44 / $316.45	Professional	26	$128.13	$224.44	$316.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $317.97 / $541.64 / $763.73	Professional	TC	$317.97	$541.64	$763.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $628.72 / $924.05	Professional		$345.80	$628.72	$924.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $118.77 / $202.74 / $277.89	Professional	26	$118.77	$202.74	$277.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $227.03 / $412.78 / $646.15	Professional	TC	$227.03	$412.78	$646.15
United Facility/Professional Professional Modifier Low / Median / High Price $356.57 / $631.13 / $924.05	Professional		$356.57	$631.13	$924.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $118.77 / $215.94 / $277.89	Professional	26	$118.77	$215.94	$277.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.41 / $499.73 / $646.15	Professional	TC	$245.41	$499.73	$646.15