Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.58 / $73.58 / $117.97	Facility	26	$73.58	$73.58	$117.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.31 / $425.00 / $532.00	Professional		$285.31	$425.00	$532.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.72 / $109.55 / $158.40	Professional	26	$70.72	$109.55	$158.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.59 / $318.39 / $368.50	Professional	TC	$232.59	$318.39	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.02 / $826.84 / $867.12	Professional		$670.02	$826.84	$867.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.44 / $167.15 / $174.71	Professional	26	$135.44	$167.15	$174.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $534.57 / $659.69 / $694.65	Professional	TC	$534.57	$659.69	$694.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $655.30 / $935.47	Professional		$495.55	$655.30	$935.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.25 / $126.35 / $176.37	Professional	26	$73.25	$126.35	$176.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $403.49 / $527.16 / $771.43	Professional	TC	$403.49	$527.16	$771.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $417.86 / $801.80 / $3,077.22	Professional		$417.86	$801.80	$3,077.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.22 / $139.37 / $680.25	Professional	26	$73.22	$139.37	$680.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $359.57 / $656.71 / $2,677.57	Professional	TC	$359.57	$656.71	$2,677.57
United Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $740.89 / $1,009.88	Professional		$402.76	$740.89	$1,009.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $135.29 / $183.31	Professional	26	$75.06	$135.29	$183.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $334.74 / $622.15 / $977.58	Professional	TC	$334.74	$622.15	$977.58