Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.66 / $119.71 / $578.13	Facility	26	$74.66	$119.71	$578.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $324.04 / $608.00	Professional		$196.00	$324.04	$608.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.17 / $140.00 / $244.36	Professional	26	$67.17	$140.00	$244.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $93.29 / $109.60 / $237.50	Professional	52	$93.29	$109.60	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.00 / $215.59 / $441.00	Professional	TC	$121.00	$215.59	$441.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.68 / $472.26 / $495.25	Professional		$382.68	$472.26	$495.25
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 $245.26 / $302.67 / $317.41	Professional	TC	$245.26	$302.67	$317.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.59 / $80.59 / $80.59	Facility	26	$80.59	$80.59	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $454.56 / $903.23	Professional		$278.45	$454.56	$903.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.29 / $128.72 / $178.99	Professional	26	$74.29	$128.72	$178.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.04 / $291.83 / $771.44	Professional	TC	$185.04	$291.83	$771.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $659.84 / $659.84 / $659.84	Facility	26	$659.84	$659.84	$659.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $447.02 / $3,145.84	Professional		$220.87	$447.02	$3,145.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $82.48 / $149.96 / $577.89	Professional	26	$82.48	$149.96	$577.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.23 / $300.42 / $2,772.01	Professional	TC	$165.23	$300.42	$2,772.01
United Facility/Professional Professional Modifier Low / Median / High Price $235.68 / $405.34 / $678.48	Professional		$235.68	$405.34	$678.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.41 / $137.19 / $186.03	Professional	26	$74.41	$137.19	$186.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.82 / $270.38 / $629.07	Professional	TC	$129.82	$270.38	$629.07