Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.04 / $108.04 / $174.20	Facility	26	$108.04	$108.04	$174.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.07 / $475.00 / $693.09	Professional		$234.07	$475.00	$693.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $140.00 / $234.07	Professional	26	$104.04	$140.00	$234.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.88 / $349.37 / $531.46	Professional	TC	$303.88	$349.37	$531.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.31 / $1,008.61 / $1,057.74	Professional		$817.31	$1,008.61	$1,057.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $200.55 / $247.48 / $258.68	Professional	26	$200.55	$247.48	$258.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $616.76 / $761.12 / $798.27	Professional	TC	$616.76	$761.12	$798.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.63 / $886.79 / $1,437.58	Professional		$601.63	$886.79	$1,437.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.69 / $187.25 / $261.06	Professional	26	$108.69	$187.25	$261.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $465.46 / $691.98 / $1,194.82	Professional	TC	$465.46	$691.98	$1,194.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $953.92 / $953.92 / $953.92	Facility	26	$953.92	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $1,001.12 / $5,981.06	Professional		$486.49	$1,001.12	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.71 / $215.14 / $672.78	Professional	26	$109.71	$215.14	$672.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $435.47 / $791.56 / $5,438.76	Professional	TC	$435.47	$791.56	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $505.31 / $907.40 / $1,482.72	Professional		$505.31	$907.40	$1,482.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.23 / $196.99 / $269.50	Professional	26	$104.23	$196.99	$269.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $384.67 / $695.77 / $1,153.65	Professional	TC	$384.67	$695.77	$1,153.65