Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.92 / $43.93 / $94.08	Facility	26	$43.92	$43.93	$94.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $282.66 / $521.70	Professional		$138.54	$282.66	$521.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.45 / $56.23 / $161.10	Professional	26	$49.45	$56.23	$161.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.61 / $228.97 / $650.98	Professional	TC	$94.61	$228.97	$650.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $412.21 / $432.28	Professional		$334.02	$412.21	$432.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.83 / $133.07 / $139.09	Professional	26	$107.83	$133.07	$139.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.19 / $279.13 / $292.72	Professional	TC	$226.19	$279.13	$292.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.24 / $63.24 / $63.24	Facility	26	$63.24	$63.24	$63.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.01 / $361.50 / $573.09	Professional		$244.01	$361.50	$573.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.21 / $102.77 / $144.36	Professional	26	$58.21	$102.77	$144.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.63 / $268.01 / $441.05	Professional	TC	$170.63	$268.01	$441.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $518.00 / $518.00 / $518.00	Facility	26	$518.00	$518.00	$518.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $439.39 / $1,890.30	Professional		$199.21	$439.39	$1,890.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.02 / $127.20 / $450.76	Professional	26	$69.02	$127.20	$450.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.38 / $303.33 / $1,576.92	Professional	TC	$162.38	$303.33	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $368.05 / $497.73	Professional		$205.32	$368.05	$497.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.88 / $112.93 / $156.47	Professional	26	$63.88	$112.93	$156.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.13 / $283.58 / $473.66	Professional	TC	$142.13	$283.58	$473.66