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 $322.69 / $425.00 / $588.12	Professional		$322.69	$425.00	$588.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.79 / $122.79 / $264.06	Professional	26	$78.79	$122.79	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.84 / $299.00 / $407.91	Professional	TC	$232.84	$299.00	$407.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.20 / $798.99 / $817.63	Professional		$611.20	$798.99	$817.63
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 $474.07 / $585.04 / $613.53	Professional	TC	$474.07	$585.04	$613.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.25 / $650.98 / $1,014.47	Professional		$460.25	$650.98	$1,014.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $141.11 / $197.33	Professional	26	$81.28	$141.11	$197.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $357.79 / $519.24 / $858.32	Professional	TC	$357.79	$519.24	$858.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $720.40 / $720.40 / $720.40	Facility	26	$720.40	$720.40	$720.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.38 / $742.00 / $3,348.15	Professional		$402.38	$742.00	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.58 / $155.41 / $597.70	Professional	26	$81.58	$155.41	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $332.83 / $575.96 / $2,941.88	Professional	TC	$332.83	$575.96	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $339.04 / $691.87 / $1,209.26	Professional		$339.04	$691.87	$1,209.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $148.49 / $204.42	Professional	26	$71.17	$148.49	$204.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.35 / $532.59 / $854.67	Professional	TC	$288.35	$532.59	$854.67