Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.39 / $64.76 / $315.86	Facility	26	$55.39	$64.76	$315.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $271.33 / $475.00	Professional		$250.00	$271.33	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $75.45 / $140.00	Professional	26	$62.50	$75.45	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.61 / $195.87 / $335.00	Professional	TC	$179.61	$195.87	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $249.55 / $342.67	Professional		$70.70	$249.55	$342.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $55.00 / $88.23	Facility	26	$55.00	$55.00	$88.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $408.51 / $661.59	Professional		$212.34	$408.51	$661.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.13 / $65.13 / $103.61	Professional	26	$49.13	$65.13	$103.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.06 / $319.69 / $590.61	Professional	TC	$149.06	$319.69	$590.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $515.04 / $666.24 / $666.24	Facility	26	$515.04	$666.24	$666.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $374.22 / $3,076.60	Professional		$243.02	$374.22	$3,076.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.06 / $76.87 / $867.00	Professional	26	$51.06	$76.87	$867.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $176.14 / $346.00 / $2,747.24	Professional	TC	$176.14	$346.00	$2,747.24
United Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $312.10 / $568.84	Professional		$243.02	$312.10	$568.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.97 / $75.20 / $100.05	Professional	26	$48.97	$75.20	$100.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.14 / $234.98 / $508.77	Professional	TC	$176.14	$234.98	$508.77