Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $89.13 / $144.54	Facility	26	$85.11	$89.13	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $812.83	Professional		$346.74	$426.58	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $223.87	Professional	26	$85.11	$120.23	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $602.56	Professional	TC	$257.04	$338.84	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $870.96	Professional		$630.96	$794.33	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $194.98 / $218.78	Professional	26	$154.88	$194.98	$218.78
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,258.93 / $1,584.89 / $1,778.28	Professional	50	$1,258.93	$1,584.89	$1,778.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $602.56 / $660.69	Professional	TC	$467.74	$602.56	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $933.25	Professional		$426.58	$616.60	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $125.89 / $218.78	Professional	26	$77.62	$125.89	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $501.19 / $758.58	Professional	TC	$316.23	$501.19	$758.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $724.44 / $3,019.95	Professional		$389.05	$724.44	$3,019.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $165.96 / $851.14	Professional	26	$89.13	$165.96	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $562.34 / $2,570.40	Professional	TC	$302.00	$562.34	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $954.99	Professional		$389.05	$676.08	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $154.88 / $229.09	Professional	26	$77.62	$154.88	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $524.81 / $724.44	Professional	TC	$302.00	$524.81	$724.44