Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,576.00 / $7,500.00	Facility		$760.00	$3,576.00	$7,500.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.91 / $44.91 / $44.91	Facility	26	$44.91	$44.91	$44.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $214.71 / $218.38	Professional		$150.93	$214.71	$218.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.90 / $44.91 / $57.82	Professional	26	$44.90	$44.91	$57.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.03 / $169.78 / $172.70	Professional	TC	$93.03	$169.78	$172.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.01 / $1,628.01 / $2,590.41	Facility		$1,032.01	$1,628.01	$2,590.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $173.25 / $237.90	Professional		$39.82	$173.25	$237.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $188.31 / $245.93	Professional		$145.88	$188.31	$245.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.46 / $54.45 / $70.59	Professional	26	$41.46	$54.45	$70.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.02 / $127.38 / $160.32	Professional	TC	$97.02	$127.38	$160.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.87 / $244.77 / $2,562.00	Facility		$150.87	$244.77	$2,562.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.77 / $181.86 / $181.86	Facility	26	$101.77	$181.86	$181.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $226.28 / $1,531.99	Professional		$133.10	$226.28	$1,531.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.42 / $57.29 / $907.84	Professional	26	$36.42	$57.29	$907.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $99.61 / $168.74 / $1,117.24	Professional	TC	$99.61	$168.74	$1,117.24
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $189.24 / $288.83	Professional		$131.94	$189.24	$288.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $46.05 / $71.34	Professional	26	$33.49	$46.05	$71.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.16 / $136.96 / $218.89	Professional	TC	$87.16	$136.96	$218.89