Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.94 / $44.94 / $103.70	Facility	26	$44.94	$44.94	$103.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $232.78 / $325.00	Professional		$123.38	$232.78	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.94 / $62.19 / $166.43	Professional	26	$44.94	$62.19	$166.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.44 / $175.86 / $310.11	Professional	TC	$78.44	$175.86	$310.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.25 / $392.73 / $411.87	Professional		$318.25	$392.73	$411.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.01 / $146.87 / $153.51	Professional	26	$119.01	$146.87	$153.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.23 / $245.87 / $257.83	Professional	TC	$199.23	$245.87	$257.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.79 / $69.79 / $69.79	Facility	26	$69.79	$69.79	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.15 / $331.52 / $472.21	Professional		$247.15	$331.52	$472.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.90 / $111.48 / $155.41	Professional	26	$61.90	$111.48	$155.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.82 / $215.62 / $334.29	Professional	TC	$156.82	$215.62	$334.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $571.36 / $571.36 / $571.36	Facility	26	$571.36	$571.36	$571.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $446.22 / $1,670.68	Professional		$210.12	$446.22	$1,670.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $122.63 / $520.49	Professional	26	$65.31	$122.63	$520.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $153.77 / $306.56 / $1,318.41	Professional	TC	$153.77	$306.56	$1,318.41
United Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $418.32 / $508.63	Professional		$203.55	$418.32	$508.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.45 / $117.84 / $160.07	Professional	26	$64.45	$117.84	$160.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.22 / $284.61 / $483.81	Professional	TC	$138.22	$284.61	$483.81