Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $75.86 / $120.23	Facility	26	$72.44	$75.86	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $630.96	Professional		$251.19	$398.11	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $181.97	Professional	26	$70.79	$112.20	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $281.84 / $512.86	Professional	TC	$181.97	$281.84	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $645.65	Professional		$436.52	$575.44	$645.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $162.18 / $181.97	Professional	26	$123.03	$162.18	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $416.87 / $467.74	Professional	TC	$316.23	$416.87	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $831.76	Professional		$316.23	$478.63	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $104.71 / $173.78	Professional	26	$61.66	$104.71	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $346.74 / $691.83	Professional	TC	$223.87	$346.74	$691.83
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 $281.84 / $660.69 / $3,090.30	Professional		$281.84	$660.69	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $120.23 / $870.96	Professional	26	$66.07	$120.23	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $575.44 / $2,754.23	Professional	TC	$204.17	$575.44	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $831.76	Professional		$281.84	$549.54	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $109.65 / $186.21	Professional	26	$57.54	$109.65	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $426.58 / $707.95	Professional	TC	$204.17	$426.58	$707.95