Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.68 / $107.68 / $173.63	Facility	26	$107.68	$107.68	$173.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.74 / $475.00 / $1,001.77	Professional		$349.74	$475.00	$1,001.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.68 / $140.00 / $327.58	Professional	26	$103.68	$140.00	$327.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.80 / $335.00 / $462.42	Professional	TC	$243.80	$335.00	$462.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.91 / $836.59 / $877.33	Professional		$677.91	$836.59	$877.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $199.89 / $246.67 / $257.83	Professional	26	$199.89	$246.67	$257.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $478.02 / $589.91 / $618.64	Professional	TC	$478.02	$589.91	$618.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.45 / $744.47 / $1,436.46	Professional		$496.45	$744.47	$1,436.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.35 / $186.63 / $260.19	Professional	26	$108.35	$186.63	$260.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $360.77 / $570.34 / $1,193.72	Professional	TC	$360.77	$570.34	$1,193.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $950.80 / $950.80 / $950.80	Facility	26	$950.80	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.76 / $839.56 / $5,981.06	Professional		$461.76	$839.56	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.35 / $213.21 / $883.52	Professional	26	$109.35	$213.21	$883.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $343.10 / $623.82 / $5,438.76	Professional	TC	$343.10	$623.82	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $417.42 / $755.60 / $1,462.47	Professional		$417.42	$755.60	$1,462.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.84 / $196.38 / $268.58	Professional	26	$107.84	$196.38	$268.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.76 / $532.25 / $930.12	Professional	TC	$327.76	$532.25	$930.12