Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.72 / $48.73 / $111.25	Facility	26	$48.72	$48.73	$111.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $281.16 / $649.36	Professional		$143.09	$281.16	$649.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.48 / $67.09 / $180.67	Professional	26	$58.48	$67.09	$180.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.35 / $221.81 / $488.70	Professional	TC	$94.35	$221.81	$488.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.22 / $454.40 / $476.54	Professional		$368.22	$454.40	$476.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.56 / $157.41 / $164.54	Professional	26	$127.56	$157.41	$164.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $240.65 / $296.99 / $311.44	Professional	TC	$240.65	$296.99	$311.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.84 / $74.84 / $74.84	Facility	26	$74.84	$74.84	$74.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $357.79 / $546.87	Professional		$268.30	$357.79	$546.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.54 / $120.16 / $166.77	Professional	26	$66.54	$120.16	$166.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.56 / $254.82 / $379.00	Professional	TC	$181.56	$254.82	$379.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $612.88 / $612.88 / $612.88	Facility	26	$612.88	$612.88	$612.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.71 / $450.68 / $1,680.90	Professional		$205.71	$450.68	$1,680.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.73 / $139.52 / $414.94	Professional	26	$70.73	$139.52	$414.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $161.96 / $301.39 / $1,425.00	Professional	TC	$161.96	$301.39	$1,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.49 / $403.24 / $514.00	Professional		$226.49	$403.24	$514.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.73 / $127.04 / $173.65	Professional	26	$70.73	$127.04	$173.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.99 / $251.16 / $354.47	Professional	TC	$148.99	$251.16	$354.47