Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $141.25 / $537.03	Facility	26	$87.10	$141.25	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $630.96	Professional		$323.59	$457.09	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $194.98	Professional	26	$81.28	$117.49	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $467.74	Professional	TC	$245.47	$338.84	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $346.74 / $478.63	Professional		$85.11	$346.74	$478.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $134.90	Facility	26	$83.18	$83.18	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $724.44	Professional		$309.03	$478.63	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $89.13 / $158.49	Professional	26	$72.44	$89.13	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $398.11 / $588.84	Professional	TC	$239.88	$398.11	$588.84
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 $338.84 / $467.74 / $3,019.95	Professional		$338.84	$467.74	$3,019.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $851.14	Professional	26	$74.13	$97.72	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $407.38 / $2,570.40	Professional	TC	$263.03	$407.38	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $724.44	Professional		$331.13	$416.87	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $125.89	Professional	26	$74.13	$91.20	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $309.03 / $575.44	Professional	TC	$257.04	$309.03	$575.44