Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.73 / $128.80 / $162.57	Facility	26	$87.73	$128.80	$162.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.94 / $475.00 / $712.89	Professional		$407.94	$475.00	$712.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.77 / $115.15 / $171.82	Professional	26	$96.77	$115.15	$171.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $311.17 / $347.61 / $541.07	Professional	TC	$311.17	$347.61	$541.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.75 / $583.75 / $583.75	Professional		$583.75	$583.75	$583.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $555.70 / $808.62	Professional		$283.06	$555.70	$808.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.00 / $91.65 / $132.00	Professional	26	$58.00	$91.65	$132.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.52 / $462.75 / $748.29	Professional	TC	$248.52	$462.75	$748.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.88 / $647.12 / $647.12	Facility	26	$502.88	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.91 / $611.87 / $3,077.22	Professional		$414.91	$611.87	$3,077.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.01 / $98.86 / $680.25	Professional	26	$66.01	$98.86	$680.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $335.64 / $524.29 / $2,677.57	Professional	TC	$335.64	$524.29	$2,677.57
United Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $553.59 / $769.69	Professional		$402.76	$553.59	$769.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.01 / $82.58 / $142.50	Professional	26	$66.01	$82.58	$142.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.69 / $487.58 / $616.04	Professional	TC	$327.69	$487.58	$616.04