Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.03 / $71.03 / $71.03	Facility		$71.03	$71.03	$71.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.17 / $42.17 / $42.17	Facility	26	$42.17	$42.17	$42.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $71.03 / $230.00	Professional		$63.91	$71.03	$230.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.63 / $42.17 / $81.34	Professional	26	$36.63	$42.17	$81.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.28 / $29.35 / $148.65	Professional	TC	$26.28	$29.35	$148.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $214.26 / $310.37	Facility		$158.00	$214.26	$310.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $62.30 / $85.55	Professional		$36.83	$62.30	$85.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $150.00 / $299.67	Professional		$73.80	$150.00	$299.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.15 / $78.98 / $127.81	Professional	26	$42.15	$78.98	$127.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.96 / $81.47 / $177.53	Professional	TC	$28.96	$81.47	$177.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $188.11 / $1,500.00	Facility		$63.00	$188.11	$1,500.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $133.40 / $323.94 / $323.94	Facility	26	$133.40	$323.94	$323.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $96.76 / $1,317.18	Professional		$60.28	$96.76	$1,317.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $70.27 / $638.00	Professional	26	$33.75	$70.27	$638.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $55.33 / $870.88	Professional	TC	$25.15	$55.33	$870.88
United Facility/Professional Facility Modifier Low / Median / High Price $119.06 / $604.50 / $1,883.00	Facility		$119.06	$604.50	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $92.33 / $266.88	Professional		$58.90	$92.33	$266.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $49.63 / $96.00	Professional	26	$33.75	$49.63	$96.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $37.84 / $170.88	Professional	TC	$25.15	$37.84	$170.88