Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.67 / $42.67 / $97.58	Facility	26	$42.67	$42.67	$97.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $213.15 / $350.88	Professional		$164.81	$213.15	$350.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.67 / $58.56 / $98.00	Professional	26	$42.67	$58.56	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.14 / $154.59 / $337.38	Professional	TC	$122.14	$154.59	$337.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.16 / $496.07 / $507.64	Professional		$382.16	$496.07	$507.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.78 / $137.94 / $144.18	Professional	26	$111.78	$137.94	$144.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.79 / $344.05 / $360.81	Professional	TC	$278.79	$344.05	$360.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $403.11 / $617.00	Professional		$292.58	$403.11	$617.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.92 / $106.58 / $146.69	Professional	26	$58.92	$106.58	$146.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.75 / $305.48 / $498.00	Professional	TC	$219.75	$305.48	$498.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.20 / $537.20 / $537.20	Facility	26	$537.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.74 / $529.01 / $2,082.64	Professional		$283.74	$529.01	$2,082.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.29 / $116.49 / $381.41	Professional	26	$61.29	$116.49	$381.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $209.62 / $386.66 / $1,754.89	Professional	TC	$209.62	$386.66	$1,754.89
United Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $469.40 / $603.72	Professional		$236.75	$469.40	$603.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.07 / $111.73 / $151.94	Professional	26	$62.07	$111.73	$151.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.68 / $348.98 / $611.38	Professional	TC	$174.68	$348.98	$611.38