Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.45 / $67.45 / $108.36	Facility	26	$67.45	$67.45	$108.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $331.97 / $475.00	Professional		$233.32	$331.97	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.12 / $88.48 / $140.00	Professional	26	$64.12	$88.48	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.79 / $239.43 / $335.00	Professional	TC	$166.79	$239.43	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.72 / $557.45 / $584.61	Professional		$451.72	$557.45	$584.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $124.27 / $153.36 / $160.30	Professional	26	$124.27	$153.36	$160.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $327.44 / $404.09 / $423.77	Professional	TC	$327.44	$404.09	$423.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.59 / $517.13 / $811.21	Professional		$331.59	$517.13	$811.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.16 / $117.06 / $162.40	Professional	26	$67.16	$117.06	$162.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.14 / $390.22 / $690.15	Professional	TC	$247.14	$390.22	$690.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.88 / $591.71 / $2,821.00	Professional		$317.88	$591.71	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.65 / $128.46 / $625.77	Professional	26	$67.65	$128.46	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $239.13 / $432.72 / $2,451.15	Professional	TC	$239.13	$432.72	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $548.41 / $720.82	Professional		$264.89	$548.41	$720.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $123.25 / $168.21	Professional	26	$68.56	$123.25	$168.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.60 / $398.55 / $638.07	Professional	TC	$235.60	$398.55	$638.07