Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $74.13 / $120.23	Facility	26	$70.79	$74.13	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $812.83	Professional		$338.84	$446.68	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $128.82 / $245.47	Professional	26	$70.79	$128.82	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $338.84 / $707.95	Professional	TC	$269.15	$338.84	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $870.96	Professional		$616.60	$776.25	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $162.18 / $177.83	Professional	26	$125.89	$162.18	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $616.60 / $676.08	Professional	TC	$489.78	$616.60	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,174.90	Professional		$416.87	$645.65	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $109.65 / $181.97	Professional	26	$64.57	$109.65	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $512.86 / $1,023.29	Professional	TC	$331.13	$512.86	$1,023.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $977.24 / $5,370.32	Professional		$380.19	$977.24	$5,370.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $154.88 / $812.83	Professional	26	$75.86	$154.88	$812.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $812.83 / $4,897.79	Professional	TC	$302.00	$812.83	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $1,202.26	Professional		$380.19	$794.33	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $131.83 / $190.55	Professional	26	$72.44	$131.83	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $676.08 / $1,023.29	Professional	TC	$302.00	$676.08	$1,023.29