Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $83.18 / $141.25	Facility	26	$61.66	$83.18	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $794.33	Professional		$229.09	$331.13	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $229.09	Professional	26	$74.13	$93.33	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $223.87 / $436.52	Professional	TC	$158.49	$223.87	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $724.44	Professional		$512.86	$645.65	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $190.55 / $208.93	Professional	26	$151.36	$190.55	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $457.09 / $512.86	Professional	TC	$363.08	$457.09	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $812.83	Professional		$316.23	$537.03	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $123.03 / $213.80	Professional	26	$70.79	$123.03	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $389.05 / $616.60	Professional	TC	$218.78	$389.05	$616.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $3,235.94	Professional		$302.00	$537.03	$3,235.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $165.96 / $870.96	Professional	26	$89.13	$165.96	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $389.05 / $2,754.23	Professional	TC	$213.80	$389.05	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $794.33	Professional		$302.00	$524.81	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $147.91 / $218.78	Professional	26	$75.86	$147.91	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $389.05 / $562.34	Professional	TC	$213.80	$389.05	$562.34