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 $221.02 / $258.72 / $475.00	Professional		$221.02	$258.72	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $60.24 / $140.00	Professional	26	$54.52	$60.24	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.51 / $198.48 / $335.00	Professional	TC	$166.51	$198.48	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.67 / $562.32 / $589.72	Professional		$455.67	$562.32	$589.72
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 $345.20 / $426.01 / $446.76	Professional	TC	$345.20	$426.01	$446.76
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 $335.53 / $542.57 / $808.78	Professional		$335.53	$542.57	$808.78
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 $260.42 / $408.17 / $698.76	Professional	TC	$260.42	$408.17	$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 $331.12 / $705.38 / $2,955.62	Professional		$331.12	$705.38	$2,955.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $114.44 / $596.05	Professional	26	$60.49	$114.44	$596.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $279.07 / $563.80 / $2,626.86	Professional	TC	$279.07	$563.80	$2,626.86
United Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $580.13 / $1,151.08	Professional		$312.25	$580.13	$1,151.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $110.43 / $150.13	Professional	26	$60.49	$110.43	$150.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.92 / $438.31 / $663.30	Professional	TC	$212.92	$438.31	$663.30