Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.44 / $44.44 / $101.95	Facility	26	$44.44	$44.44	$101.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.03 / $216.07 / $342.38	Professional		$162.03	$216.07	$342.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.44 / $57.91 / $81.37	Professional	26	$44.44	$57.91	$81.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.59 / $154.59 / $287.82	Professional	TC	$117.59	$154.59	$287.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.86 / $486.05 / $509.72	Professional		$393.86	$486.05	$509.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.04 / $144.43 / $150.96	Professional	26	$117.04	$144.43	$150.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $276.81 / $341.61 / $358.25	Professional	TC	$276.81	$341.61	$358.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.38 / $426.82 / $712.02	Professional		$288.38	$426.82	$712.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $110.86 / $152.80	Professional	26	$61.52	$110.86	$152.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.31 / $330.27 / $594.00	Professional	TC	$214.31	$330.27	$594.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $519.50 / $2,293.84	Professional		$279.33	$519.50	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $121.26 / $523.40	Professional	26	$64.06	$121.26	$523.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $201.82 / $374.38 / $2,412.00	Professional	TC	$201.82	$374.38	$2,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.26 / $462.96 / $582.49	Professional		$243.26	$462.96	$582.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $121.26 / $158.27	Professional	26	$64.59	$121.26	$158.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.51 / $334.56 / $424.22	Professional	TC	$176.51	$334.56	$424.22