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 $344.12 / $475.00 / $654.69	Professional		$344.12	$475.00	$654.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.39 / $140.00 / $279.45	Professional	26	$104.39	$140.00	$279.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $292.27 / $335.00 / $492.57	Professional	TC	$292.27	$335.00	$492.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.31 / $949.37 / $995.62	Professional		$769.31	$949.37	$995.62
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 $568.76 / $701.89 / $739.41	Professional	TC	$568.76	$701.89	$739.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.87 / $116.87 / $116.87	Facility	26	$116.87	$116.87	$116.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $835.29 / $1,400.87	Professional		$565.49	$835.29	$1,400.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.69 / $186.63 / $261.06	Professional	26	$108.69	$186.63	$261.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $429.32 / $651.28 / $1,207.53	Professional	TC	$429.32	$651.28	$1,207.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $957.12 / $957.12 / $957.12	Facility	26	$957.12	$957.12	$957.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.37 / $945.06 / $5,981.06	Professional		$521.37	$945.06	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.84 / $206.32 / $894.00	Professional	26	$107.84	$206.32	$894.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $401.92 / $730.54 / $5,438.76	Professional	TC	$401.92	$730.54	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $477.35 / $890.00 / $1,399.74	Professional		$477.35	$890.00	$1,399.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.71 / $197.48 / $269.50	Professional	26	$109.71	$197.48	$269.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $356.32 / $686.09 / $1,070.66	Professional	TC	$356.32	$686.09	$1,070.66