Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $60.26 / $97.72	Facility	26	$57.54	$60.26	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $602.56	Professional		$234.42	$371.54	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $154.88	Professional	26	$57.54	$85.11	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $281.84 / $467.74	Professional	TC	$177.83	$281.84	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $588.84	Professional		$426.58	$537.03	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $144.54	Professional	26	$102.33	$128.82	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $407.38 / $446.68	Professional	TC	$316.23	$407.38	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $794.33	Professional		$288.40	$446.68	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $144.54	Professional	26	$52.48	$85.11	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $645.65	Professional	TC	$218.78	$338.84	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $630.96 / $2,951.21	Professional		$263.03	$630.96	$2,951.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $109.65 / $602.56	Professional	26	$58.88	$109.65	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $524.81 / $2,630.27	Professional	TC	$199.53	$524.81	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $512.86 / $776.25	Professional		$263.03	$512.86	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $102.33 / $151.36	Professional	26	$52.48	$102.33	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $416.87 / $660.69	Professional	TC	$199.53	$416.87	$660.69