Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.75 / $63.75 / $146.22	Facility	26	$63.75	$63.75	$146.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.07 / $320.88 / $482.32	Professional		$191.07	$320.88	$482.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.75 / $87.34 / $141.28	Professional	26	$63.75	$87.34	$141.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $212.93 / $386.24	Professional	TC	$127.32	$212.93	$386.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.15 / $755.44 / $792.24	Professional		$612.15	$755.44	$792.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $168.33 / $207.72 / $217.12	Professional	26	$168.33	$207.72	$217.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $443.83 / $547.72 / $574.40	Professional	TC	$443.83	$547.72	$574.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.06 / $98.06 / $98.06	Facility	26	$98.06	$98.06	$98.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.77 / $596.30 / $910.15	Professional		$429.77	$596.30	$910.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.26 / $152.05 / $220.82	Professional	26	$91.26	$152.05	$220.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $315.08 / $437.08 / $739.92	Professional	TC	$315.08	$437.08	$739.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $801.92 / $801.92 / $801.92	Facility	26	$801.92	$801.92	$801.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.12 / $618.40 / $3,101.53	Professional		$340.12	$618.40	$3,101.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.75 / $172.84 / $660.44	Professional	26	$92.75	$172.84	$660.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $240.05 / $436.46 / $2,625.91	Professional	TC	$240.05	$436.46	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $340.12 / $602.92 / $823.23	Professional		$340.12	$602.92	$823.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $179.01 / $233.11	Professional	26	$95.50	$179.01	$233.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.05 / $414.64 / $594.10	Professional	TC	$240.05	$414.64	$594.10