Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.92 / $42.92 / $98.46	Facility	26	$42.92	$42.92	$98.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.04 / $214.95 / $347.89	Professional		$139.04	$214.95	$347.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $58.86 / $98.46	Professional	26	$42.92	$58.86	$98.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.12 / $142.09 / $286.25	Professional	TC	$96.12	$142.09	$286.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.60 / $420.32 / $440.79	Professional		$340.60	$420.32	$440.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.09 / $139.57 / $145.88	Professional	26	$113.09	$139.57	$145.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $227.50 / $280.76 / $294.43	Professional	TC	$227.50	$280.76	$294.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.34 / $66.34 / $66.34	Facility	26	$66.34	$66.34	$66.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.47 / $368.26 / $583.80	Professional		$248.47	$368.26	$583.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.92 / $106.64 / $147.56	Professional	26	$58.92	$106.64	$147.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.19 / $268.77 / $474.00	Professional	TC	$175.19	$268.77	$474.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $542.79 / $542.79 / $542.79	Facility	26	$542.79	$542.79	$542.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.47 / $439.39 / $1,884.77	Professional		$231.47	$439.39	$1,884.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.27 / $117.17 / $434.24	Professional	26	$61.27	$117.17	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.00 / $305.26 / $1,950.00	Professional	TC	$165.00	$305.26	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $388.21 / $499.57	Professional		$199.94	$388.21	$499.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $112.36 / $152.86	Professional	26	$62.44	$112.36	$152.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.21 / $282.82 / $481.25	Professional	TC	$140.21	$282.82	$481.25