Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.58 / $73.58 / $117.97	Facility	26	$73.58	$73.58	$117.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.66 / $389.08 / $595.78	Professional		$236.66	$389.08	$595.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.29 / $140.00 / $191.35	Professional	26	$67.29	$140.00	$191.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $111.98 / $134.22 / $237.50	Professional	52	$111.98	$134.22	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.17 / $282.22 / $368.50	Professional	TC	$164.17	$282.22	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.32 / $563.13 / $590.55	Professional		$456.32	$563.13	$590.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.44 / $167.15 / $174.71	Professional	26	$135.44	$167.15	$174.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $320.88 / $395.98 / $415.30	Professional	TC	$320.88	$395.98	$415.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.45 / $79.45 / $79.45	Facility	26	$79.45	$79.45	$79.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.23 / $537.92 / $823.70	Professional		$334.23	$537.92	$823.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.25 / $126.35 / $176.37	Professional	26	$73.25	$126.35	$176.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.17 / $384.08 / $692.74	Professional	TC	$242.17	$384.08	$692.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $650.32 / $650.32 / $650.32	Facility	26	$650.32	$650.32	$650.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.37 / $681.19 / $3,507.01	Professional		$324.37	$681.19	$3,507.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $147.16 / $571.29	Professional	26	$75.06	$147.16	$571.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $235.44 / $518.04 / $2,477.29	Professional	TC	$235.44	$518.04	$2,477.29
United Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $603.45 / $878.51	Professional		$320.77	$603.45	$878.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $135.29 / $183.31	Professional	26	$75.06	$135.29	$183.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.29 / $410.88 / $866.29	Professional	TC	$234.29	$410.88	$866.29