Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $67.61 / $112.20	Facility	26	$48.98	$67.61	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $707.95	Professional		$208.93	$302.00	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $89.13 / $162.18	Professional	26	$57.54	$89.13	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $218.78 / $602.56	Professional	TC	$154.88	$218.78	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $676.08	Professional		$457.09	$616.60	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $151.36 / $169.82	Professional	26	$114.82	$151.36	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $457.09 / $512.86	Professional	TC	$346.74	$457.09	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $707.95	Professional		$288.40	$457.09	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $97.72 / $169.82	Professional	26	$56.23	$97.72	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $380.19 / $575.44	Professional	TC	$218.78	$380.19	$575.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	26	$616.60	$616.60	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $2,398.83	Professional		$281.84	$501.19	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $128.82 / $537.03	Professional	26	$67.61	$128.82	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $371.54 / $2,630.27	Professional	TC	$213.80	$371.54	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $691.83	Professional		$281.84	$478.63	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $117.49 / $177.83	Professional	26	$61.66	$117.49	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $346.74 / $524.81	Professional	TC	$213.80	$346.74	$524.81