Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $107.15 / $173.78	Facility	26	$102.33	$107.15	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,230.27	Professional		$338.84	$478.63	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $177.83 / $354.81	Professional	26	$97.72	$177.83	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $1,071.52	Professional	TC	$251.19	$338.84	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $891.25	Professional		$602.56	$794.33	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $234.42 / $263.03	Professional	26	$177.83	$234.42	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $562.34 / $630.96	Professional	TC	$426.58	$562.34	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,202.26	Professional		$426.58	$660.69	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $151.36 / $257.04	Professional	26	$93.33	$151.36	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $467.74 / $1,096.48	Professional	TC	$302.00	$467.74	$1,096.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $6,025.60	Professional		$398.11	$794.33	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $199.53 / $891.25	Professional	26	$104.71	$199.53	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $575.44 / $5,495.41	Professional	TC	$288.40	$575.44	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,071.52	Professional		$398.11	$707.95	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $177.83 / $269.15	Professional	26	$93.33	$177.83	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $524.81 / $933.25	Professional	TC	$288.40	$524.81	$933.25