Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $81.28 / $131.83	Facility	26	$77.62	$81.28	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $1,288.25	Professional		$169.82	$436.52	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $134.90 / $309.03	Professional	26	$77.62	$134.90	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $758.58	Professional	TC	$234.42	$338.84	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $812.83	Professional		$549.54	$741.31	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $177.83 / $194.98	Professional	26	$134.90	$177.83	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $562.34 / $616.60	Professional	TC	$416.87	$562.34	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $977.24	Professional		$398.11	$616.60	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $199.53	Professional	26	$70.79	$114.82	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $467.74 / $831.76	Professional	TC	$302.00	$467.74	$831.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $3,311.31	Professional		$371.54	$691.83	$3,311.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $151.36 / $602.56	Professional	26	$79.43	$151.36	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $549.54 / $2,951.21	Professional	TC	$288.40	$549.54	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $891.25	Professional		$371.54	$645.65	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $134.90 / $204.17	Professional	26	$70.79	$134.90	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $501.19 / $691.83	Professional	TC	$288.40	$501.19	$691.83