Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.99 / $89.99 / $145.08	Facility	26	$89.99	$89.99	$145.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $318.43 / $475.00	Professional		$269.01	$318.43	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.65 / $89.99 / $140.00	Professional	26	$81.65	$89.99	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.36 / $228.44 / $335.00	Professional	TC	$187.36	$228.44	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.01 / $679.98 / $713.10	Professional		$551.01	$679.98	$713.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $167.01 / $206.10 / $215.42	Professional	26	$167.01	$206.10	$215.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $384.00 / $473.87 / $496.96	Professional	TC	$384.00	$473.87	$496.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.16 / $97.16 / $97.16	Facility	26	$97.16	$97.16	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $642.76 / $1,011.63	Professional		$403.20	$642.76	$1,011.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.48 / $157.96 / $218.87	Professional	26	$90.48	$157.96	$218.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $289.73 / $458.14 / $838.41	Professional	TC	$289.73	$458.14	$838.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.36 / $795.36 / $795.36	Facility	26	$795.36	$795.36	$795.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.26 / $653.70 / $3,482.54	Professional		$360.26	$653.70	$3,482.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $170.79 / $642.27	Professional	26	$91.67	$170.79	$642.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $261.38 / $468.58 / $2,996.90	Professional	TC	$261.38	$468.58	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $339.53 / $589.52 / $971.46	Professional		$339.53	$589.52	$971.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $164.97 / $224.32	Professional	26	$91.67	$164.97	$224.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.87 / $427.72 / $697.31	Professional	TC	$238.87	$427.72	$697.31