Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.44 / $44.44 / $101.95	Facility	26	$44.44	$44.44	$101.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.76 / $230.30 / $368.37	Professional		$171.76	$230.30	$368.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.44 / $61.13 / $81.01	Professional	26	$44.44	$61.13	$81.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $169.17 / $306.19	Professional	TC	$127.32	$169.17	$306.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $518.51 / $543.75	Professional		$420.15	$518.51	$543.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.04 / $144.43 / $150.96	Professional	26	$117.04	$144.43	$150.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $303.12 / $374.06 / $392.29	Professional	TC	$303.12	$374.06	$392.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.63 / $430.17 / $642.98	Professional		$321.63	$430.17	$642.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.31 / $111.02 / $155.24	Professional	26	$63.31	$111.02	$155.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.23 / $325.67 / $492.20	Professional	TC	$238.23	$325.67	$492.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.97 / $569.09 / $2,220.23	Professional		$293.97	$569.09	$2,220.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $138.00 / $590.91	Professional	26	$64.59	$138.00	$590.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $224.33 / $414.79 / $1,822.59	Professional	TC	$224.33	$414.79	$1,822.59
United Facility/Professional Professional Modifier Low / Median / High Price $258.08 / $533.49 / $661.90	Professional		$258.08	$533.49	$661.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $124.68 / $167.62	Professional	26	$64.59	$124.68	$167.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.94 / $384.58 / $654.29	Professional	TC	$186.94	$384.58	$654.29