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 $331.89 / $475.00 / $598.50	Professional		$331.89	$475.00	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.10 / $140.00 / $299.04	Professional	26	$103.10	$140.00	$299.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.58 / $335.00 / $378.19	Professional	TC	$218.58	$335.00	$378.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.74 / $791.95 / $830.53	Professional		$641.74	$791.95	$830.53
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 $428.05 / $528.24 / $553.97	Professional	TC	$428.05	$528.24	$553.97
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 $468.10 / $725.00 / $1,485.23	Professional		$468.10	$725.00	$1,485.23
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 $323.01 / $511.16 / $1,194.82	Professional	TC	$323.01	$511.16	$1,194.82
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 $374.25 / $766.72 / $6,195.24	Professional		$374.25	$766.72	$6,195.24
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 $294.93 / $536.24 / $5,551.18	Professional	TC	$294.93	$536.24	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $374.25 / $690.05 / $935.20	Professional		$374.25	$690.05	$935.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $210.98 / $297.98	Professional	26	$117.29	$210.98	$297.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $266.42 / $482.62 / $794.47	Professional	TC	$266.42	$482.62	$794.47