Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.78 / $40.78 / $93.49	Facility	26	$40.78	$40.78	$93.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.23 / $267.55 / $329.25	Professional		$168.23	$267.55	$329.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $56.11 / $150.41	Professional	26	$40.78	$56.11	$150.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.45 / $213.12 / $270.75	Professional	TC	$127.45	$213.12	$270.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.69 / $559.88 / $587.16	Professional		$453.69	$559.88	$587.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.18 / $132.26 / $138.25	Professional	26	$107.18	$132.26	$138.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.52 / $427.62 / $449.29	Professional	TC	$346.52	$427.62	$449.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.56 / $443.43 / $620.08	Professional		$320.56	$443.43	$620.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $101.06 / $140.57	Professional	26	$55.83	$101.06	$140.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.62 / $341.29 / $477.26	Professional	TC	$248.62	$341.29	$477.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $454.20 / $1,817.09	Professional		$245.77	$454.20	$1,817.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $116.12 / $364.90	Professional	26	$59.19	$116.12	$364.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.58 / $338.46 / $1,526.12	Professional	TC	$186.58	$338.46	$1,526.12
United Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $447.98 / $650.47	Professional		$250.44	$447.98	$650.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $105.20 / $145.29	Professional	26	$59.19	$105.20	$145.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.58 / $338.46 / $546.91	Professional	TC	$186.58	$338.46	$546.91