Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.06 / $380.06 / $8,500.00	Facility		$380.06	$380.06	$8,500.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.44 / $127.44 / $127.44	Facility	26	$127.44	$127.44	$127.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $380.06 / $597.26	Professional		$341.43	$380.06	$597.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.50 / $127.44 / $186.41	Professional	26	$118.50	$127.44	$186.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $252.62 / $406.52	Professional	TC	$214.11	$252.62	$406.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.49 / $832.35 / $954.10	Professional		$707.49	$832.35	$954.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $239.97 / $288.54 / $316.33	Professional	26	$239.97	$288.54	$316.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $462.24 / $543.80 / $647.39	Professional	TC	$462.24	$543.80	$647.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.22 / $877.32 / $1,132.94	Professional		$471.22	$877.32	$1,132.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $152.04 / $265.58 / $374.48	Professional	26	$152.04	$265.58	$374.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $319.18 / $537.90 / $758.46	Professional	TC	$319.18	$537.90	$758.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.06 / $384.65 / $1,140.18	Facility		$380.06	$384.65	$1,140.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.63 / $686.60 / $996.36	Professional		$377.63	$686.60	$996.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $140.34 / $239.56 / $330.22	Professional	26	$140.34	$239.56	$330.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $237.29 / $431.44 / $666.14	Professional	TC	$237.29	$431.44	$666.14
United Facility/Professional Professional Modifier Low / Median / High Price $377.63 / $741.16 / $996.36	Professional		$377.63	$741.16	$996.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $140.34 / $255.16 / $330.22	Professional	26	$140.34	$255.16	$330.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.99 / $534.85 / $668.26	Professional	TC	$252.99	$534.85	$668.26