Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.19 / $57.19 / $130.19	Facility	26	$57.19	$57.19	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.76 / $281.35 / $543.33	Professional		$172.76	$281.35	$543.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.19 / $72.55 / $98.00	Professional	26	$57.19	$72.55	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.57 / $163.84 / $345.93	Professional	TC	$115.57	$163.84	$345.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.86 / $545.28 / $571.84	Professional		$441.86	$545.28	$571.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.26 / $184.19 / $192.53	Professional	26	$149.26	$184.19	$192.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.60 / $361.09 / $378.67	Professional	TC	$292.60	$361.09	$378.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $87.25 / $87.25	Facility	26	$87.25	$87.25	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.27 / $430.11 / $657.41	Professional		$322.27	$430.11	$657.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.08 / $125.73 / $194.71	Professional	26	$76.08	$125.73	$194.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.81 / $316.67 / $474.00	Professional	TC	$220.81	$316.67	$474.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $714.16 / $714.16 / $714.16	Facility	26	$714.16	$714.16	$714.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $531.80 / $2,036.01	Professional		$277.38	$531.80	$2,036.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.06 / $150.07 / $484.69	Professional	26	$80.06	$150.07	$484.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $198.35 / $372.44 / $2,005.00	Professional	TC	$198.35	$372.44	$2,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $447.59 / $620.46	Professional		$237.99	$447.59	$620.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.06 / $145.97 / $203.53	Professional	26	$80.06	$145.97	$203.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.35 / $319.01 / $416.93	Professional	TC	$198.35	$319.01	$416.93