Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.09 / $152.58 / $193.18	Facility	26	$104.09	$152.58	$193.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.46 / $450.02 / $672.22	Professional		$379.46	$450.02	$672.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $134.71 / $203.98	Professional	26	$111.15	$134.71	$203.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.35 / $315.32 / $468.24	Professional	TC	$265.35	$315.32	$468.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.00 / $542.00 / $542.00	Professional		$542.00	$542.00	$542.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.52 / $490.57 / $907.00	Professional		$225.52	$490.57	$907.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $108.58 / $155.22	Professional	26	$69.48	$108.58	$155.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.38 / $360.11 / $764.00	Professional	TC	$176.38	$360.11	$764.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $764.32 / $764.32	Facility	26	$593.12	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $592.15 / $3,389.77	Professional		$325.89	$592.15	$3,389.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.56 / $116.91 / $657.14	Professional	26	$78.56	$116.91	$657.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $232.15 / $512.85 / $2,953.83	Professional	TC	$232.15	$512.85	$2,953.83
United Facility/Professional Professional Modifier Low / Median / High Price $315.42 / $585.87 / $788.09	Professional		$315.42	$585.87	$788.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.56 / $97.66 / $168.52	Professional	26	$78.56	$97.66	$168.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.64 / $362.62 / $590.19	Professional	TC	$226.64	$362.62	$590.19