Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.23 / $49.23 / $112.43	Facility	26	$49.23	$49.23	$112.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.55 / $325.00 / $474.61	Professional		$176.55	$325.00	$474.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.23 / $67.45 / $132.57	Professional	26	$49.23	$67.45	$132.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $227.00 / $381.20	Professional	TC	$127.32	$227.00	$381.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.78 / $640.22 / $671.40	Professional		$518.78	$640.22	$671.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.88 / $159.04 / $166.23	Professional	26	$128.88	$159.04	$166.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.92 / $481.18 / $506.48	Professional	TC	$389.92	$481.18	$506.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.64 / $75.64 / $75.64	Facility	26	$75.64	$75.64	$75.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.82 / $506.87 / $774.73	Professional		$366.82	$506.87	$774.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $122.02 / $168.51	Professional	26	$67.70	$122.02	$168.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $280.30 / $384.43 / $587.59	Professional	TC	$280.30	$384.43	$587.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $619.20 / $619.20 / $619.20	Facility	26	$619.20	$619.20	$619.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.92 / $528.94 / $2,385.40	Professional		$290.92	$528.94	$2,385.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.42 / $140.08 / $533.30	Professional	26	$70.42	$140.08	$533.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.39 / $387.98 / $2,603.00	Professional	TC	$213.39	$387.98	$2,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.92 / $496.61 / $708.19	Professional		$290.92	$496.61	$708.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.98 / $127.82 / $175.17	Professional	26	$68.98	$127.82	$175.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.39 / $387.98 / $533.02	Professional	TC	$213.39	$387.98	$533.02