Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $87.10 / $144.54	Facility	26	$63.10	$87.10	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $630.96	Professional		$239.88	$323.59	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $93.33 / $234.42	Professional	26	$67.61	$93.33	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $478.63	Professional	TC	$158.49	$218.78	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $794.33	Professional		$537.03	$724.44	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $199.53 / $218.78	Professional	26	$147.91	$199.53	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $524.81 / $575.44	Professional	TC	$389.05	$524.81	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $912.01	Professional		$338.84	$537.03	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $128.82 / $218.78	Professional	26	$74.13	$128.82	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $389.05 / $660.69	Professional	TC	$251.19	$389.05	$660.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $3,090.30	Professional		$331.13	$575.44	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $165.96 / $660.69	Professional	26	$89.13	$165.96	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $416.87 / $2,630.27	Professional	TC	$234.42	$416.87	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $812.83	Professional		$331.13	$562.34	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $151.36 / $229.09	Professional	26	$81.28	$151.36	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $407.38 / $588.84	Professional	TC	$234.42	$407.38	$588.84