Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.69 / $44.69 / $102.53	Facility	26	$44.69	$44.69	$102.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $219.97 / $346.44	Professional		$135.00	$219.97	$346.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $61.49 / $161.90	Professional	26	$44.69	$61.49	$161.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.31 / $144.09 / $282.38	Professional	TC	$90.31	$144.09	$282.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.17 / $428.43 / $449.30	Professional		$347.17	$428.43	$449.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.70 / $145.25 / $151.82	Professional	26	$117.70	$145.25	$151.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.47 / $283.19 / $296.98	Professional	TC	$229.47	$283.19	$296.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.49 / $372.55 / $558.29	Professional		$250.49	$372.55	$558.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $110.86 / $153.66	Professional	26	$61.52	$110.86	$153.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.60 / $266.07 / $441.05	Professional	TC	$167.60	$266.07	$441.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.54 / $385.56 / $1,897.57	Professional		$212.54	$385.56	$1,897.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $127.70 / $435.88	Professional	26	$64.95	$127.70	$435.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.94 / $258.02 / $1,600.00	Professional	TC	$141.94	$258.02	$1,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $347.80 / $484.95	Professional		$194.16	$347.80	$484.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $116.82 / $159.16	Professional	26	$64.95	$116.82	$159.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.81 / $232.56 / $396.82	Professional	TC	$141.81	$232.56	$396.82