Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.48 / $61.48 / $140.97	Facility	26	$61.48	$61.48	$140.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $325.00 / $474.59	Professional		$188.80	$325.00	$474.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.08 / $84.63 / $237.61	Professional	26	$74.08	$84.63	$237.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $220.00 / $386.24	Professional	TC	$127.32	$220.00	$386.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.98 / $682.41 / $715.65	Professional		$552.98	$682.41	$715.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $161.75 / $199.62 / $208.64	Professional	26	$161.75	$199.62	$208.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $391.23 / $482.80 / $506.32	Professional	TC	$391.23	$482.80	$506.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.56 / $94.56 / $94.56	Facility	26	$94.56	$94.56	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.14 / $567.16 / $823.21	Professional		$405.14	$567.16	$823.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.47 / $139.71 / $211.30	Professional	26	$84.47	$139.71	$211.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.20 / $424.22 / $662.36	Professional	TC	$295.20	$424.22	$662.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $773.84 / $773.84 / $773.84	Facility	26	$773.84	$773.84	$773.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $588.98 / $3,248.56	Professional		$300.99	$588.98	$3,248.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.50 / $173.64 / $880.00	Professional	26	$89.50	$173.64	$880.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $211.49 / $412.78 / $2,762.21	Professional	TC	$211.49	$412.78	$2,762.21
United Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $535.40 / $1,053.47	Professional		$300.99	$535.40	$1,053.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.50 / $160.44 / $218.88	Professional	26	$89.50	$160.44	$218.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $227.03 / $390.41 / $740.22	Professional	TC	$227.03	$390.41	$740.22