Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.94 / $44.94 / $102.53	Facility	26	$44.94	$44.94	$102.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $303.77 / $395.37	Professional		$172.39	$303.77	$395.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.94 / $61.49 / $222.50	Professional	26	$44.94	$61.49	$222.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.45 / $220.61 / $309.89	Professional	TC	$127.45	$220.61	$309.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.59 / $569.63 / $597.37	Professional		$461.59	$569.63	$597.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.70 / $145.25 / $151.82	Professional	26	$117.70	$145.25	$151.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $343.89 / $424.38 / $446.80	Professional	TC	$343.89	$424.38	$446.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.20 / $450.41 / $629.84	Professional		$326.20	$450.41	$629.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $111.49 / $153.66	Professional	26	$61.52	$111.49	$153.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.24 / $338.76 / $510.23	Professional	TC	$247.24	$338.76	$510.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $465.00 / $1,846.75	Professional		$251.18	$465.00	$1,846.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.45 / $121.94 / $444.14	Professional	26	$64.45	$121.94	$444.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $337.02 / $2,104.00	Professional	TC	$185.86	$337.02	$2,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $442.11 / $697.40	Professional		$251.18	$442.11	$697.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $109.49 / $160.10	Professional	26	$65.31	$109.49	$160.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $337.02 / $468.87	Professional	TC	$185.86	$337.02	$468.87