Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $112.20 / $181.97	Facility	26	$109.65	$112.20	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $1,096.48	Professional		$426.58	$489.78	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $288.40	Professional	26	$107.15	$151.36	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $389.05 / $831.76	Professional	TC	$331.13	$389.05	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,230.27	Professional		$831.76	$1,096.48	$1,230.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $245.47 / $275.42	Professional	26	$186.21	$245.47	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $645.65 / $851.14 / $954.99	Professional	TC	$645.65	$851.14	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,584.89	Professional		$588.84	$912.01	$1,584.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $158.49 / $275.42	Professional	26	$97.72	$158.49	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $724.44 / $1,288.25	Professional	TC	$457.09	$724.44	$1,288.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	26	$1,000.00	$1,000.00	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $6,025.60	Professional		$562.34	$1,047.13	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $204.17 / $933.25	Professional	26	$109.65	$204.17	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $851.14 / $5,370.32	Professional	TC	$446.68	$851.14	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,348.96	Professional		$562.34	$1,000.00	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $186.21 / $281.84	Professional	26	$97.72	$186.21	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $794.33 / $1,174.90	Professional	TC	$446.68	$794.33	$1,174.90