Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $575.44	Professional		$338.84	$398.11	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $181.97	Professional	26	$97.72	$114.82	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $281.84 / $354.81	Professional	TC	$229.09	$281.84	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $281.84 / $467.74	Professional		$102.33	$281.84	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $467.74	Professional		$309.03	$389.05	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $141.25 / $177.83	Professional	26	$109.65	$141.25	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $257.04 / $309.03	Professional	TC	$199.53	$257.04	$309.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $478.63 / $478.63	Facility	26	$269.15	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $2,691.53	Professional		$295.12	$380.19	$2,691.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $794.33	Professional	26	$93.33	$123.03	$794.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $251.19 / $1,905.46	Professional	TC	$190.55	$251.19	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $512.86	Professional		$281.84	$354.81	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $120.23 / $169.82	Professional	26	$89.13	$120.23	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $234.42 / $363.08	Professional	TC	$181.97	$234.42	$363.08