Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.81 / $98.68 / $115.15	Facility	26	$66.81	$98.68	$115.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $363.81 / $492.57	Professional		$250.00	$363.81	$492.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $73.75 / $140.00	Professional	26	$62.50	$73.75	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $242.11 / $368.50	Professional	TC	$187.50	$242.11	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $355.25 / $487.81	Professional		$68.95	$355.25	$487.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.75 / $66.75 / $107.60	Facility	26	$66.75	$66.75	$107.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $445.60 / $704.95	Professional		$286.64	$445.60	$704.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.51 / $68.84 / $115.94	Professional	26	$59.51	$68.84	$115.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.87 / $381.74 / $606.02	Professional	TC	$224.87	$381.74	$606.02
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 $345.80 / $459.30 / $3,077.22	Professional		$345.80	$459.30	$3,077.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $79.12 / $680.25	Professional	26	$59.27	$79.12	$680.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $285.08 / $450.62 / $2,677.57	Professional	TC	$285.08	$450.62	$2,677.57
United Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $427.42 / $797.06	Professional		$342.35	$427.42	$797.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $75.06 / $142.63	Professional	26	$59.27	$75.06	$142.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $285.08 / $344.33 / $648.50	Professional	TC	$285.08	$344.33	$648.50