Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.36 / $90.36 / $145.08	Facility	26	$90.36	$90.36	$145.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $390.42 / $557.86	Professional		$326.86	$390.42	$557.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.77 / $90.36 / $140.00	Professional	26	$81.77	$90.36	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.09 / $300.07 / $422.90	Professional	TC	$245.09	$300.07	$422.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.45 / $855.11 / $875.06	Professional		$659.45	$855.11	$875.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $167.01 / $206.10 / $215.42	Professional	26	$167.01	$206.10	$215.42
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $775.82 / $1,585.80 / $1,744.46	Professional	50	$775.82	$1,585.80	$1,744.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $506.95 / $625.61 / $656.08	Professional	TC	$506.95	$625.61	$656.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.37 / $97.37 / $97.37	Facility	26	$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.71 / $657.21 / $1,004.53	Professional		$495.71	$657.21	$1,004.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.54 / $157.96 / $217.41	Professional	26	$90.54	$157.96	$217.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $382.50 / $504.72 / $763.09	Professional	TC	$382.50	$504.72	$763.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.52 / $795.52 / $795.52	Facility	26	$795.52	$795.52	$795.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.58 / $780.84 / $3,018.44	Professional		$443.58	$780.84	$3,018.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.52 / $172.16 / $850.86	Professional	26	$91.52	$172.16	$850.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $345.47 / $600.12 / $2,546.60	Professional	TC	$345.47	$600.12	$2,546.60
United Facility/Professional Professional Modifier Low / Median / High Price $413.83 / $728.41 / $1,219.69	Professional		$413.83	$728.41	$1,219.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.39 / $165.73 / $225.19	Professional	26	$89.39	$165.73	$225.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.62 / $565.30 / $942.17	Professional	TC	$300.62	$565.30	$942.17