Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.18 / $68.18 / $109.51	Facility	26	$68.18	$68.18	$109.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.83 / $452.24 / $530.79	Professional		$300.83	$452.24	$530.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.70 / $130.72 / $189.00	Professional	26	$65.70	$130.72	$189.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.77 / $335.00 / $419.27	Professional	TC	$232.77	$335.00	$419.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.32 / $773.40 / $791.44	Professional		$589.32	$773.40	$791.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.59 / $154.97 / $161.99	Professional	26	$125.59	$154.97	$161.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $476.71 / $588.29 / $618.38	Professional	TC	$476.71	$588.29	$618.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.22 / $589.33 / $900.78	Professional		$445.22	$589.33	$900.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.81 / $116.44 / $164.15	Professional	26	$67.81	$116.44	$164.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $359.77 / $492.54 / $740.00	Professional	TC	$359.77	$492.54	$740.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $603.28 / $603.28 / $603.28	Facility	26	$603.28	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.91 / $713.76 / $2,819.97	Professional		$381.91	$713.76	$2,819.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.65 / $136.36 / $469.00	Professional	26	$67.65	$136.36	$469.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $330.08 / $577.40 / $2,495.53	Professional	TC	$330.08	$577.40	$2,495.53
United Facility/Professional Professional Modifier Low / Median / High Price $358.37 / $699.94 / $899.03	Professional		$358.37	$699.94	$899.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.29 / $126.61 / $170.03	Professional	26	$69.29	$126.61	$170.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.08 / $533.97 / $817.84	Professional	TC	$289.08	$533.97	$817.84