Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.63 / $89.63 / $144.49	Facility	26	$89.63	$89.63	$144.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.37 / $313.38 / $498.81	Professional		$264.37	$313.38	$498.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.34 / $89.63 / $148.03	Professional	26	$81.34	$89.63	$148.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.03 / $223.74 / $350.77	Professional	TC	$183.03	$223.74	$350.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.14 / $667.81 / $700.33	Professional		$541.14	$667.81	$700.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $166.35 / $205.30 / $214.58	Professional	26	$166.35	$205.30	$214.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $374.79 / $462.51 / $485.05	Professional	TC	$374.79	$462.51	$485.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.82 / $96.82 / $96.82	Facility	26	$96.82	$96.82	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.75 / $632.11 / $999.25	Professional		$395.75	$632.11	$999.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.15 / $155.25 / $216.54	Professional	26	$90.15	$155.25	$216.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.77 / $447.36 / $838.41	Professional	TC	$282.77	$447.36	$838.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $792.16 / $792.16 / $792.16	Facility	26	$792.16	$792.16	$792.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.14 / $646.10 / $3,447.72	Professional		$356.14	$646.10	$3,447.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.93 / $171.17 / $665.40	Professional	26	$89.93	$171.17	$665.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $460.66 / $2,996.90	Professional	TC	$257.04	$460.66	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $315.42 / $582.77 / $918.12	Professional		$315.42	$582.77	$918.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $169.17 / $223.40	Professional	26	$91.31	$169.17	$223.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.90 / $413.77 / $679.74	Professional	TC	$196.90	$413.77	$679.74