Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $190.55 / $645.65	Facility		$61.66	$190.55	$645.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $38.02 / $64.57	Facility	26	$34.67	$38.02	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $229.09	Professional		$60.26	$87.10	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $38.90 / $85.11	Professional	26	$19.50	$38.90	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $134.90	Professional	TC	$25.70	$33.88	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $165.96	Professional		$112.20	$147.91	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $93.33	Professional	26	$63.10	$85.11	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $70.79	Professional	TC	$47.86	$64.57	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $275.42	Professional		$81.28	$141.25	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $79.43 / $123.03	Professional	26	$46.77	$79.43	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $63.10 / $190.55	Professional	TC	$34.67	$63.10	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $109.65 / $407.38	Facility		$67.61	$109.65	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $1,318.26	Professional		$83.18	$138.04	$1,318.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $630.96	Professional	26	$45.71	$72.44	$630.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $60.26 / $870.96	Professional	TC	$37.15	$60.26	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,041.74	Facility		$1,819.70	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $229.09	Professional		$83.18	$131.83	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $109.65	Professional	26	$45.71	$72.44	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $60.26 / $141.25	Professional	TC	$37.15	$60.26	$141.25