Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.30 / $74.30 / $118.55	Facility	26	$74.30	$74.30	$118.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $307.07 / $475.00	Professional		$259.27	$307.07	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.97 / $74.30 / $140.00	Professional	26	$66.97	$74.30	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.31 / $232.77 / $342.68	Professional	TC	$192.31	$232.77	$342.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $646.71 / $678.21	Professional		$524.04	$646.71	$678.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $136.10 / $167.97 / $175.56	Professional	26	$136.10	$167.97	$175.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $387.94 / $478.74 / $503.99	Professional	TC	$387.94	$478.74	$503.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.14 / $561.77 / $871.45	Professional		$385.14	$561.77	$871.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.64 / $128.72 / $177.24	Professional	26	$73.64	$128.72	$177.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.70 / $425.41 / $703.80	Professional	TC	$292.70	$425.41	$703.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $653.60 / $653.60 / $653.60	Facility	26	$653.60	$653.60	$653.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.32 / $622.79 / $2,872.81	Professional		$339.32	$622.79	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.40 / $140.74 / $548.98	Professional	26	$74.40	$140.74	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $275.18 / $475.32 / $2,498.98	Professional	TC	$275.18	$475.32	$2,498.98
United Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $583.63 / $939.18	Professional		$313.26	$583.63	$939.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.50 / $136.83 / $185.13	Professional	26	$72.50	$136.83	$185.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.47 / $440.20 / $713.53	Professional	TC	$237.47	$440.20	$713.53