Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $67.61 / $109.65	Facility	26	$64.57	$67.61	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $660.69	Professional		$234.42	$416.87	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $125.89 / $173.78	Professional	26	$64.57	$125.89	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $281.84 / $512.86	Professional	TC	$169.82	$281.84	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $588.84	Professional		$398.11	$537.03	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $144.54 / $162.18	Professional	26	$109.65	$144.54	$162.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $389.05 / $426.58	Professional	TC	$288.40	$389.05	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $776.25	Professional		$281.84	$436.52	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $162.18	Professional	26	$58.88	$93.33	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $323.59 / $575.44	Professional	TC	$208.93	$323.59	$575.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	26	$602.56	$602.56	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $2,818.38	Professional		$263.03	$524.81	$2,818.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $123.03 / $630.96	Professional	26	$64.57	$123.03	$630.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $416.87 / $2,454.71	Professional	TC	$194.98	$416.87	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $691.83	Professional		$263.03	$478.63	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $109.65 / $169.82	Professional	26	$58.88	$109.65	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $363.08 / $588.84	Professional	TC	$194.98	$363.08	$588.84