Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.63 / $89.63 / $143.88	Facility	26	$89.63	$89.63	$143.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $332.97 / $522.50	Professional		$263.94	$332.97	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.39 / $122.99 / $199.08	Professional	26	$86.39	$122.99	$199.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $131.97 / $155.79 / $237.50	Professional	52	$131.97	$155.79	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $182.60 / $227.87 / $368.50	Professional	TC	$182.60	$227.87	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.79 / $668.62 / $701.19	Professional		$541.79	$668.62	$701.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.04 / $203.67 / $212.88	Professional	26	$165.04	$203.67	$212.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $376.76 / $464.95 / $487.60	Professional	TC	$376.76	$464.95	$487.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.50 / $635.07 / $998.66	Professional		$396.50	$635.07	$998.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.16 / $155.25 / $215.66	Professional	26	$89.16	$155.25	$215.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $284.27 / $447.36 / $838.41	Professional	TC	$284.27	$447.36	$838.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.76 / $789.76 / $789.76	Facility	26	$789.76	$789.76	$789.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.73 / $644.64 / $3,445.62	Professional		$354.73	$644.64	$3,445.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.93 / $178.68 / $672.00	Professional	26	$89.93	$178.68	$672.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $255.85 / $461.38 / $2,996.90	Professional	TC	$255.85	$461.38	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $313.62 / $580.46 / $968.64	Professional		$313.62	$580.46	$968.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $164.36 / $223.39	Professional	26	$77.62	$164.36	$223.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.31 / $416.45 / $722.51	Professional	TC	$222.31	$416.45	$722.51