Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.92 / $42.92 / $98.15	Facility	26	$42.92	$42.92	$98.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $248.00 / $343.40	Professional		$170.24	$248.00	$343.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $55.50 / $77.81	Professional	26	$42.92	$55.50	$77.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $189.09 / $290.94	Professional	TC	$127.32	$189.09	$290.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.03 / $618.30 / $648.41	Professional		$501.03	$618.30	$648.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.43 / $138.75 / $145.03	Professional	26	$112.43	$138.75	$145.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $388.60 / $479.55 / $503.99	Professional	TC	$388.60	$479.55	$503.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.97 / $490.37 / $707.50	Professional		$353.97	$490.37	$707.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.92 / $106.02 / $147.56	Professional	26	$58.92	$106.02	$147.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $278.92 / $383.16 / $585.65	Professional	TC	$278.92	$383.16	$585.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.20 / $537.20 / $537.20	Facility	26	$537.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.86 / $523.38 / $2,195.67	Professional		$279.86	$523.38	$2,195.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.88 / $116.49 / $439.20	Professional	26	$60.88	$116.49	$439.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $220.89 / $399.60 / $1,890.23	Professional	TC	$220.89	$399.60	$1,890.23
United Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $493.98 / $798.14	Professional		$276.45	$493.98	$798.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $112.98 / $152.86	Professional	26	$62.44	$112.98	$152.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.89 / $395.07 / $562.14	Professional	TC	$220.89	$395.07	$562.14