Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.89 / $287.98 / $8,500.00	Facility		$164.89	$287.98	$8,500.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.38 / $40.38 / $66.15	Facility	26	$40.38	$40.38	$66.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $164.89 / $280.88	Professional		$140.13	$164.89	$280.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $40.38 / $59.03	Professional	26	$37.63	$40.38	$59.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $124.51 / $220.72	Professional	TC	$98.17	$124.51	$220.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $385.23 / $470.00	Professional		$327.44	$385.23	$470.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.28 / $90.50 / $99.23	Professional	26	$75.28	$90.50	$99.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.52 / $294.72 / $373.03	Professional	TC	$250.52	$294.72	$373.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.89 / $376.31 / $530.60	Professional		$242.89	$376.31	$530.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $88.81 / $119.20	Professional	26	$57.00	$88.81	$119.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.55 / $276.12 / $411.40	Professional	TC	$186.55	$276.12	$411.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.89 / $280.31 / $612.50	Facility		$164.89	$280.31	$612.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $225.98 / $433.05	Professional		$146.88	$225.98	$433.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.59 / $76.03 / $104.61	Professional	26	$48.59	$76.03	$104.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $94.25 / $145.00 / $328.44	Professional	TC	$94.25	$145.00	$328.44
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $302.49 / $433.05	Professional		$146.88	$302.49	$433.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.54 / $80.98 / $104.61	Professional	26	$44.54	$80.98	$104.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.25 / $228.41 / $328.44	Professional	TC	$94.25	$228.41	$328.44