Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.01 / $64.01 / $146.82	Facility	26	$64.01	$64.01	$146.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.32 / $325.00 / $524.29	Professional		$191.32	$325.00	$524.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.64 / $87.78 / $247.63	Professional	26	$78.64	$87.78	$247.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $227.00 / $561.36	Professional	TC	$127.32	$227.00	$561.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.80 / $697.02 / $730.97	Professional		$564.80	$697.02	$730.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $168.98 / $208.54 / $217.96	Professional	26	$168.98	$208.54	$217.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $395.83 / $488.48 / $512.28	Professional	TC	$395.83	$488.48	$512.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.41 / $98.41 / $98.41	Facility	26	$98.41	$98.41	$98.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.39 / $550.00 / $888.82	Professional		$396.39	$550.00	$888.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.59 / $153.74 / $221.63	Professional	26	$91.59	$153.74	$221.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $298.67 / $393.80 / $690.55	Professional	TC	$298.67	$393.80	$690.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $804.96 / $804.96 / $804.96	Facility	26	$804.96	$804.96	$804.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $603.46 / $3,183.14	Professional		$307.83	$603.46	$3,183.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.85 / $182.88 / $1,009.00	Professional	26	$100.85	$182.88	$1,009.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $231.78 / $421.42 / $2,699.58	Professional	TC	$231.78	$421.42	$2,699.58
United Facility/Professional Professional Modifier Low / Median / High Price $332.63 / $594.13 / $769.14	Professional		$332.63	$594.13	$769.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.40 / $167.56 / $227.91	Professional	26	$89.40	$167.56	$227.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.73 / $400.35 / $571.96	Professional	TC	$214.73	$400.35	$571.96