Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.79 / $130.51 / $193.72	Facility	26	$109.79	$130.51	$193.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $323.08 / $392.29	Professional		$256.14	$323.08	$392.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $104.81 / $131.33	Professional	26	$78.34	$104.81	$131.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $224.07 / $309.93	Professional	TC	$171.62	$224.07	$309.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.67 / $527.67 / $527.67	Professional		$527.67	$527.67	$527.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.81 / $449.11 / $830.00	Professional		$251.81	$449.11	$830.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.90 / $111.36 / $159.84	Professional	26	$72.90	$111.36	$159.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.82 / $349.70 / $680.00	Professional	TC	$184.82	$349.70	$680.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $792.40 / $792.40	Facility	26	$618.08	$792.40	$792.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.59 / $513.36 / $3,081.89	Professional		$338.59	$513.36	$3,081.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $82.49 / $125.11 / $554.78	Professional	26	$82.49	$125.11	$554.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $241.76 / $409.56 / $2,625.91	Professional	TC	$241.76	$409.56	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $338.59 / $492.05 / $719.20	Professional		$338.59	$492.05	$719.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.49 / $101.12 / $158.19	Professional	26	$82.49	$101.12	$158.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.02 / $353.82 / $525.16	Professional	TC	$236.02	$353.82	$525.16