Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.88 / $76.88 / $176.83	Facility	26	$76.88	$76.88	$176.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $481.53 / $782.00	Professional		$286.17	$481.53	$782.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.56 / $105.54 / $285.69	Professional	26	$85.56	$105.54	$285.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.29 / $310.95 / $492.70	Professional	TC	$209.29	$310.95	$492.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.75 / $938.82 / $984.55	Professional		$760.75	$938.82	$984.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $203.83 / $251.55 / $262.92	Professional	26	$203.83	$251.55	$262.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $556.92 / $687.28 / $720.76	Professional	TC	$556.92	$687.28	$720.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.52 / $118.52 / $118.52	Facility	26	$118.52	$118.52	$118.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.62 / $740.95 / $1,019.81	Professional		$531.62	$740.95	$1,019.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.17 / $179.88 / $268.79	Professional	26	$110.17	$179.88	$268.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $396.23 / $548.73 / $788.14	Professional	TC	$396.23	$548.73	$788.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $969.20 / $969.20 / $969.20	Facility	26	$969.20	$969.20	$969.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $411.42 / $781.60 / $2,573.48	Professional		$411.42	$781.60	$2,573.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $209.42 / $653.20	Professional	26	$111.88	$209.42	$653.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $299.54 / $552.89 / $2,038.19	Professional	TC	$299.54	$552.89	$2,038.19
United Facility/Professional Professional Modifier Low / Median / High Price $411.42 / $755.23 / $1,086.57	Professional		$411.42	$755.23	$1,086.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.96 / $202.34 / $273.74	Professional	26	$109.96	$202.34	$273.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $309.54 / $528.39 / $1,033.30	Professional	TC	$309.54	$528.39	$1,033.30