Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $371.54 / $407.38	Facility	26	$295.12	$371.54	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,071.52	Professional		$346.74	$478.63	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $128.82 / $416.87	Professional	26	$85.11	$128.82	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $691.83	Professional	TC	$257.04	$338.84	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $776.25	Professional		$346.74	$436.52	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $95.50 / $169.82	Professional	26	$74.13	$95.50	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $346.74 / $616.60	Professional	TC	$269.15	$346.74	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $891.25	Professional		$281.84	$501.19	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $186.21	Professional	26	$64.57	$100.00	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $371.54 / $741.31	Professional	TC	$218.78	$371.54	$741.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $794.33 / $794.33	Facility	26	$616.60	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $3,019.95	Professional		$331.13	$501.19	$3,019.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $89.13 / $851.14	Professional	26	$74.13	$89.13	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $436.52 / $2,570.40	Professional	TC	$257.04	$436.52	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $741.31	Professional		$331.13	$467.74	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $77.62 / $147.91	Professional	26	$74.13	$77.62	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $588.84	Professional	TC	$257.04	$371.54	$588.84