Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.65 / $74.66 / $119.72	Facility	26	$74.65	$74.66	$119.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $335.75 / $598.50	Professional		$197.42	$335.75	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.77 / $140.00 / $289.50	Professional	26	$71.77	$140.00	$289.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.21 / $216.03 / $441.00	Professional	TC	$124.21	$216.03	$441.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.02 / $471.44 / $494.40	Professional		$382.02	$471.44	$494.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $137.41 / $169.59 / $177.26	Professional	26	$137.41	$169.59	$177.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $244.60 / $301.85 / $316.55	Professional	TC	$244.60	$301.85	$316.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.97 / $453.78 / $914.39	Professional		$277.97	$453.78	$914.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.29 / $130.05 / $181.06	Professional	26	$74.29	$130.05	$181.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.54 / $290.30 / $771.44	Professional	TC	$184.54	$290.30	$771.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $656.72	Facility	26	$656.72	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $452.54 / $3,174.82	Professional		$220.51	$452.54	$3,174.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $141.78 / $609.25	Professional	26	$76.15	$141.78	$609.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $166.82 / $303.30 / $2,772.01	Professional	TC	$166.82	$303.30	$2,772.01
United Facility/Professional Professional Modifier Low / Median / High Price $234.48 / $407.29 / $708.70	Professional		$234.48	$407.29	$708.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $137.19 / $186.03	Professional	26	$76.15	$137.19	$186.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.38 / $288.13 / $479.81	Professional	TC	$151.38	$288.13	$479.81