Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.06 / $97.68 / $475.08	Facility	26	$83.06	$97.68	$475.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $370.05 / $587.17	Professional		$250.00	$370.05	$587.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $90.52 / $141.79	Professional	26	$62.50	$90.52	$141.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $279.52 / $445.40	Professional	TC	$187.50	$279.52	$445.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $347.55 / $477.24	Professional		$85.40	$347.55	$477.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.88 / $83.88 / $134.33	Facility	26	$83.88	$83.88	$134.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $456.87 / $708.15	Professional		$289.42	$456.87	$708.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.58 / $84.52 / $142.35	Professional	26	$74.58	$84.52	$142.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.22 / $366.43 / $573.17	Professional	TC	$213.22	$366.43	$573.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $620.48 / $795.52 / $795.52	Facility	26	$620.48	$795.52	$795.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.61 / $465.49 / $3,018.44	Professional		$341.61	$465.49	$3,018.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $95.80 / $850.86	Professional	26	$74.09	$95.80	$850.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $261.54 / $432.67 / $2,546.60	Professional	TC	$261.54	$432.67	$2,546.60
United Facility/Professional Professional Modifier Low / Median / High Price $341.61 / $417.36 / $676.82	Professional		$341.61	$417.36	$676.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $91.90 / $138.00	Professional	26	$74.09	$91.90	$138.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $261.54 / $331.40 / $534.77	Professional	TC	$261.54	$331.40	$534.77