Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.24 / $60.24 / $96.41	Facility	26	$60.24	$60.24	$96.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $353.27 / $522.50	Professional		$222.03	$353.27	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.69 / $99.39 / $266.11	Professional	26	$54.69	$99.39	$266.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.90 / $263.49 / $368.50	Professional	TC	$162.90	$263.49	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $532.29 / $558.23	Professional		$431.34	$532.29	$558.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.46 / $136.32 / $142.49	Professional	26	$110.46	$136.32	$142.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $320.88 / $395.98 / $415.27	Professional	TC	$320.88	$395.98	$415.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $514.29 / $815.07	Professional		$317.14	$514.29	$815.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.65 / $104.16 / $144.94	Professional	26	$59.65	$104.16	$144.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.04 / $385.28 / $698.76	Professional	TC	$242.04	$385.28	$698.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $530.79 / $530.79 / $530.79	Facility	26	$530.79	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $712.48 / $2,968.23	Professional		$335.38	$712.48	$2,968.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $120.42 / $505.24	Professional	26	$61.35	$120.42	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $278.57 / $569.89 / $2,638.88	Professional	TC	$278.57	$569.89	$2,638.88
United Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $555.41 / $821.77	Professional		$298.82	$555.41	$821.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $110.43 / $150.13	Professional	26	$61.35	$110.43	$150.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.53 / $419.61 / $674.00	Professional	TC	$198.53	$419.61	$674.00