Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.25 / $115.25 / $185.58	Facility	26	$115.25	$115.25	$185.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.58 / $475.00 / $588.89	Professional		$330.58	$475.00	$588.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.85 / $140.00 / $312.58	Professional	26	$102.85	$140.00	$312.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.21 / $335.00 / $462.42	Professional	TC	$220.21	$335.00	$462.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.11 / $788.71 / $827.12	Professional		$639.11	$788.71	$827.12
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 $425.42 / $524.99 / $550.57	Professional	TC	$425.42	$524.99	$550.57
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 $466.11 / $725.00 / $1,459.73	Professional		$466.11	$725.00	$1,459.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.62 / $201.73 / $279.45	Professional	26	$115.62	$201.73	$279.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.02 / $508.08 / $1,230.38	Professional	TC	$321.02	$508.08	$1,230.38
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 $419.33 / $762.42 / $6,146.58	Professional		$419.33	$762.42	$6,146.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $231.20 / $921.60	Professional	26	$117.29	$231.20	$921.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $292.17 / $531.22 / $5,551.18	Professional	TC	$292.17	$531.22	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $372.81 / $724.30 / $1,211.63	Professional		$372.81	$724.30	$1,211.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $210.98 / $287.31	Professional	26	$117.29	$210.98	$287.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $504.66 / $788.38	Professional	TC	$255.52	$504.66	$788.38