Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.00 / $63.00 / $144.49	Facility	26	$63.00	$63.00	$144.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.31 / $274.86 / $477.42	Professional		$190.31	$274.86	$477.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.00 / $85.98 / $109.67	Professional	26	$63.00	$85.98	$109.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $188.49 / $385.85	Professional	TC	$127.32	$188.49	$385.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.52 / $752.19 / $788.83	Professional		$609.52	$752.19	$788.83
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 $443.17 / $546.91 / $573.54	Professional	TC	$443.17	$546.91	$573.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.94 / $593.78 / $902.81	Professional		$427.94	$593.78	$902.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.56 / $144.68 / $216.54	Professional	26	$87.56	$144.68	$216.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $314.62 / $436.45 / $698.28	Professional	TC	$314.62	$436.45	$698.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $792.40 / $792.40 / $792.40	Facility	26	$792.40	$792.40	$792.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.76 / $615.91 / $3,081.89	Professional		$338.76	$615.91	$3,081.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.52 / $172.52 / $554.78	Professional	26	$91.52	$172.52	$554.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $238.88 / $434.32 / $2,625.91	Professional	TC	$238.88	$434.32	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $327.69 / $601.58 / $870.88	Professional		$327.69	$601.58	$870.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $165.78 / $224.29	Professional	26	$91.67	$165.78	$224.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.74 / $428.32 / $848.08	Professional	TC	$211.74	$428.32	$848.08