Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.62 / $116.72 / $159.71	Facility	26	$88.62	$116.72	$159.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $443.55 / $662.26	Professional		$370.50	$443.55	$662.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.27 / $113.95 / $172.77	Professional	26	$97.27	$113.95	$172.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.72 / $329.60 / $489.49	Professional	TC	$272.72	$329.60	$489.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $511.00	Professional		$511.00	$511.00	$511.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.66 / $446.74 / $766.00	Professional		$221.66	$446.74	$766.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.54 / $99.36 / $131.46	Professional	26	$58.54	$99.36	$131.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.88 / $340.23 / $643.00	Professional	TC	$180.88	$340.23	$643.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $505.36 / $653.60 / $653.60	Facility	26	$505.36	$653.60	$653.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.66 / $532.54 / $2,872.81	Professional		$322.66	$532.54	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.09 / $99.82 / $548.98	Professional	26	$67.09	$99.82	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $243.23 / $424.37 / $2,498.98	Professional	TC	$243.23	$424.37	$2,498.98
United Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $487.11 / $611.90	Professional		$313.26	$487.11	$611.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.09 / $83.37 / $143.88	Professional	26	$67.09	$83.37	$143.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.47 / $403.70 / $498.28	Professional	TC	$237.47	$403.70	$498.28