Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.68 / $107.68 / $174.20	Facility	26	$107.68	$107.68	$174.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.56 / $415.73 / $592.57	Professional		$297.56	$415.73	$592.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $140.00 / $278.57	Professional	26	$104.04	$140.00	$278.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.41 / $289.57 / $418.37	Professional	TC	$232.41	$289.57	$418.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.45 / $858.42 / $878.44	Professional		$659.45	$858.42	$878.44
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 $473.42 / $584.23 / $612.69	Professional	TC	$473.42	$584.23	$612.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.46 / $758.78 / $1,437.58	Professional		$493.46	$758.78	$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 $357.29 / $566.50 / $1,194.82	Professional	TC	$357.29	$566.50	$1,194.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $950.80 / $950.80 / $950.80	Facility	26	$950.80	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.51 / $962.60 / $5,978.92	Professional		$475.51	$962.60	$5,978.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.35 / $215.36 / $733.09	Professional	26	$109.35	$215.36	$733.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $344.29 / $723.54 / $5,438.76	Professional	TC	$344.29	$723.54	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $415.43 / $842.41 / $1,287.84	Professional		$415.43	$842.41	$1,287.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.95 / $198.51 / $268.60	Professional	26	$104.95	$198.51	$268.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.19 / $601.28 / $965.13	Professional	TC	$295.19	$601.28	$965.13