Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.26 / $64.26 / $147.40	Facility	26	$64.26	$64.26	$147.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.24 / $334.49 / $851.45	Professional		$231.24	$334.49	$851.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $88.14 / $323.07	Professional	26	$76.45	$88.14	$323.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.28 / $246.35 / $4,062.60	Professional	TC	$178.28	$246.35	$4,062.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.27 / $745.70 / $782.03	Professional		$604.27	$745.70	$782.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.64 / $209.35 / $218.82	Professional	26	$169.64	$209.35	$218.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $434.63 / $536.35 / $562.85	Professional	TC	$434.63	$536.35	$562.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.40 / $98.40 / $98.40	Facility	26	$98.40	$98.40	$98.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $589.33 / $811.13	Professional		$389.24	$589.33	$811.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.92 / $150.99 / $224.44	Professional	26	$91.92	$150.99	$224.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $284.32 / $428.84 / $590.23	Professional	TC	$284.32	$428.84	$590.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $805.76 / $805.76 / $805.76	Facility	26	$805.76	$805.76	$805.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $610.28 / $2,077.84	Professional		$315.77	$610.28	$2,077.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $128.35 / $177.47 / $460.86	Professional	26	$128.35	$177.47	$460.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $238.92 / $441.15 / $2,614.00	Professional	TC	$238.92	$441.15	$2,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $594.44 / $831.14	Professional		$332.39	$594.44	$831.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.47 / $169.13 / $228.83	Professional	26	$93.47	$169.13	$228.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.97 / $427.40 / $602.30	Professional	TC	$226.97	$427.40	$602.30