Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.78 / $40.78 / $93.49	Facility	26	$40.78	$40.78	$93.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $220.66 / $335.06	Professional		$157.36	$220.66	$335.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $55.77 / $76.43	Professional	26	$40.78	$55.77	$76.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.58 / $164.55 / $276.56	Professional	TC	$116.58	$164.55	$276.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.17 / $510.10 / $522.00	Professional		$391.17	$510.10	$522.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.18 / $132.26 / $138.25	Professional	26	$107.18	$132.26	$138.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.60 / $361.09 / $378.67	Professional	TC	$292.60	$361.09	$378.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.43 / $390.14 / $554.02	Professional		$291.43	$390.14	$554.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $101.06 / $140.57	Professional	26	$55.83	$101.06	$140.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.44 / $288.01 / $440.21	Professional	TC	$215.44	$288.01	$440.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $447.28 / $1,627.19	Professional		$225.92	$447.28	$1,627.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.10 / $111.04 / $345.18	Professional	26	$58.10	$111.04	$345.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $176.43 / $329.16 / $1,330.47	Professional	TC	$176.43	$329.16	$1,330.47
United Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $415.42 / $678.25	Professional		$225.92	$415.42	$678.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $107.39 / $149.34	Professional	26	$59.19	$107.39	$149.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.73 / $298.14 / $499.02	Professional	TC	$166.73	$298.14	$499.02