Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.19 / $119.19 / $119.19	Facility	26	$119.19	$119.19	$119.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.63 / $401.63 / $408.49	Professional		$401.63	$401.63	$408.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.19 / $119.19 / $121.23	Professional	26	$119.19	$119.19	$121.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.43 / $282.43 / $287.26	Professional	TC	$282.43	$282.43	$287.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $230.47 / $470.51	Professional		$102.90	$230.47	$470.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $424.14 / $491.03	Professional		$309.39	$424.14	$491.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.56 / $144.49 / $170.96	Professional	26	$110.56	$144.49	$170.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.59 / $274.97 / $308.51	Professional	TC	$191.59	$274.97	$308.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $268.94 / $473.80 / $473.80	Facility	26	$268.94	$473.80	$473.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $427.18 / $2,710.64	Professional		$303.08	$427.18	$2,710.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.49 / $144.51 / $785.60	Professional	26	$94.49	$144.51	$785.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $196.33 / $269.95 / $1,925.04	Professional	TC	$196.33	$269.95	$1,925.04
United Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $381.53 / $601.61	Professional		$285.26	$381.53	$601.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.26 / $123.14 / $196.75	Professional	26	$92.26	$123.14	$196.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.33 / $246.96 / $431.43	Professional	TC	$196.33	$246.96	$431.43