Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.06 / $82.06 / $131.36	Facility	26	$82.06	$82.06	$131.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.72 / $425.00 / $533.05	Professional		$306.72	$425.00	$533.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.79 / $140.00 / $340.87	Professional	26	$78.79	$140.00	$340.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $241.83 / $335.00 / $414.06	Professional	TC	$241.83	$335.00	$414.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.36 / $766.80 / $804.15	Professional		$621.36	$766.80	$804.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $150.58 / $185.82 / $194.22	Professional	26	$150.58	$185.82	$194.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $470.78 / $580.99 / $611.75	Professional	TC	$470.78	$580.99	$611.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.30 / $88.30 / $88.30	Facility	26	$88.30	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.76 / $649.91 / $1,006.39	Professional		$457.76	$649.91	$1,006.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $140.49 / $197.33	Professional	26	$81.28	$140.49	$197.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $355.30 / $515.71 / $853.09	Professional	TC	$355.30	$515.71	$853.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $723.52 / $723.52 / $723.52	Facility	26	$723.52	$723.52	$723.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $738.64 / $3,348.15	Professional		$398.23	$738.64	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.73 / $163.60 / $586.14	Professional	26	$83.73	$163.60	$586.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $329.27 / $574.52 / $2,941.88	Professional	TC	$329.27	$574.52	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $686.05 / $1,128.96	Professional		$371.36	$686.05	$1,128.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.73 / $151.11 / $204.42	Professional	26	$83.73	$151.11	$204.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.79 / $538.80 / $878.43	Professional	TC	$294.79	$538.80	$878.43