Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.25 / $154.43 / $185.58	Facility	26	$115.25	$154.43	$185.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.64 / $475.00 / $625.00	Professional		$350.64	$475.00	$625.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.82 / $140.00 / $312.58	Professional	26	$110.82	$140.00	$312.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.93 / $335.00 / $377.02	Professional	TC	$217.93	$335.00	$377.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.42 / $790.34 / $828.83	Professional		$640.42	$790.34	$828.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $213.70 / $263.72 / $275.64	Professional	26	$213.70	$263.72	$275.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $426.73 / $526.62 / $552.27	Professional	TC	$426.73	$526.62	$552.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.22 / $124.22 / $124.22	Facility	26	$124.22	$124.22	$124.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $725.00 / $1,484.12	Professional		$467.10	$725.00	$1,484.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.85 / $201.73 / $282.10	Professional	26	$115.85	$201.73	$282.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.02 / $509.62 / $1,231.00	Professional	TC	$322.02	$509.62	$1,231.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,016.96 / $1,016.96 / $1,016.96	Facility	26	$1,016.96	$1,016.96	$1,016.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.92 / $765.30 / $6,199.75	Professional		$420.92	$765.30	$6,199.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $230.48 / $931.20	Professional	26	$117.29	$230.48	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $294.14 / $530.38 / $5,551.18	Professional	TC	$294.14	$530.38	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $394.26 / $688.77 / $1,400.72	Professional		$394.26	$688.77	$1,400.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $211.12 / $297.22	Professional	26	$117.29	$211.12	$297.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $481.34 / $793.43	Professional	TC	$256.24	$481.34	$793.43