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 $204.17 / $371.54 / $933.25	Professional		$204.17	$371.54	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $204.17	Professional	26	$64.57	$100.00	$204.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $109.65 / $109.65 / $112.20	Professional	52	$109.65	$109.65	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $234.42 / $467.74	Professional	TC	$131.83	$234.42	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $512.86	Professional		$363.08	$467.74	$512.86
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 $239.88 / $302.00 / $331.13	Professional	TC	$239.88	$302.00	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $691.83	Professional		$245.47	$380.19	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $177.83	Professional	26	$64.57	$104.71	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $251.19 / $575.44	Professional	TC	$158.49	$251.19	$575.44
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 $229.09 / $436.52 / $2,884.03	Professional		$229.09	$436.52	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $147.91 / $588.84	Professional	26	$75.86	$147.91	$588.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $302.00 / $2,511.89	Professional	TC	$151.36	$302.00	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $645.65	Professional		$229.09	$407.38	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $186.21	Professional	26	$64.57	$120.23	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $275.42 / $489.78	Professional	TC	$151.36	$275.42	$489.78