Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.70 / $93.72 / $457.80	Facility	26	$79.70	$93.72	$457.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $297.05 / $475.00	Professional		$250.00	$297.05	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $87.80 / $140.00	Professional	26	$62.50	$87.80	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $209.25 / $335.93	Professional	TC	$187.50	$209.25	$335.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $280.70 / $385.44	Professional		$82.60	$280.70	$385.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.63 / $79.63 / $127.75	Facility	26	$79.63	$79.63	$127.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $436.03 / $690.44	Professional		$231.64	$436.03	$690.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.18 / $81.43 / $137.15	Professional	26	$71.18	$81.43	$137.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.74 / $321.27 / $574.20	Professional	TC	$158.74	$321.27	$574.20
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 $274.42 / $418.95 / $3,389.77	Professional		$274.42	$418.95	$3,389.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $93.74 / $657.14	Professional	26	$70.54	$93.74	$657.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $197.18 / $388.38 / $2,953.83	Professional	TC	$197.18	$388.38	$2,953.83
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $370.97 / $699.41	Professional		$268.11	$370.97	$699.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $88.78 / $165.80	Professional	26	$70.54	$88.78	$165.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.18 / $271.95 / $514.42	Professional	TC	$197.18	$271.95	$514.42