Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.38 / $96.89 / $471.23	Facility	26	$82.38	$96.89	$471.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $372.87 / $589.39	Professional		$250.00	$372.87	$589.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $90.19 / $141.22	Professional	26	$62.50	$90.19	$141.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $282.68 / $448.17	Professional	TC	$187.50	$282.68	$448.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $348.25 / $478.20	Professional		$84.70	$348.25	$478.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.91 / $82.91 / $132.69	Facility	26	$82.91	$82.91	$132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.73 / $455.61 / $706.19	Professional		$290.73	$455.61	$706.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.73 / $83.53 / $140.68	Professional	26	$73.73	$83.53	$140.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.88 / $366.16 / $574.48	Professional	TC	$214.88	$366.16	$574.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $789.92 / $789.92	Facility	26	$618.08	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.98 / $470.32 / $3,014.38	Professional		$340.98	$470.32	$3,014.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $94.67 / $597.70	Professional	26	$73.44	$94.67	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $261.85 / $432.26 / $2,544.17	Professional	TC	$261.85	$432.26	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $340.98 / $414.93 / $675.10	Professional		$340.98	$414.93	$675.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $90.95 / $125.41	Professional	26	$73.44	$90.95	$125.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.83 / $317.86 / $530.52	Professional	TC	$255.83	$317.86	$530.52