Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.27 / $89.27 / $144.49	Facility	26	$89.27	$89.27	$144.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.28 / $389.70 / $559.23	Professional		$329.28	$389.70	$559.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $89.27 / $154.00	Professional	26	$81.40	$89.27	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.88 / $300.43 / $425.39	Professional	TC	$247.88	$300.43	$425.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.25 / $835.78 / $876.48	Professional		$677.25	$835.78	$876.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $166.35 / $205.30 / $214.58	Professional	26	$166.35	$205.30	$214.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $510.90 / $630.48 / $661.19	Professional	TC	$510.90	$630.48	$661.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.33 / $660.38 / $1,009.38	Professional		$498.33	$660.38	$1,009.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.17 / $157.11 / $217.92	Professional	26	$90.17	$157.11	$217.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $385.48 / $504.72 / $768.91	Professional	TC	$385.48	$504.72	$768.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.92 / $789.92 / $789.92	Facility	26	$789.92	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $442.76 / $779.40 / $3,014.38	Professional		$442.76	$779.40	$3,014.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.95 / $170.79 / $597.70	Professional	26	$90.95	$170.79	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $346.26 / $600.86 / $2,544.17	Professional	TC	$346.26	$600.86	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $391.93 / $759.87 / $1,216.47	Professional		$391.93	$759.87	$1,216.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.39 / $163.80 / $222.47	Professional	26	$87.39	$163.80	$222.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.98 / $555.57 / $758.51	Professional	TC	$300.98	$555.57	$758.51