Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $74.13 / $120.23	Facility	26	$70.79	$74.13	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $426.58 / $870.96	Professional		$194.98	$426.58	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $147.91 / $223.87	Professional	26	$66.07	$147.91	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $251.19 / $660.69	Professional	TC	$125.89	$251.19	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $501.19	Professional		$338.84	$446.68	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $162.18 / $177.83	Professional	26	$123.03	$162.18	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $288.40 / $316.23	Professional	TC	$218.78	$288.40	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $691.83	Professional		$239.88	$371.54	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $181.97	Professional	26	$64.57	$104.71	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $239.88 / $562.34	Professional	TC	$154.88	$239.88	$562.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $3,162.28	Professional		$218.78	$426.58	$3,162.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $141.25 / $602.56	Professional	26	$75.86	$141.25	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $288.40 / $2,754.23	Professional	TC	$144.54	$288.40	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $645.65	Professional		$218.78	$398.11	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $123.03 / $186.21	Professional	26	$67.61	$123.03	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $269.15 / $478.63	Professional	TC	$144.54	$269.15	$478.63