Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.58 / $70.58 / $161.96	Facility	26	$70.58	$70.58	$161.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.04 / $388.85 / $578.12	Professional		$260.04	$388.85	$578.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $96.90 / $272.74	Professional	26	$84.53	$96.90	$272.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $189.46 / $304.31 / $821.47	Professional	TC	$189.46	$304.31	$821.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.60 / $834.96 / $875.63	Professional		$676.60	$834.96	$875.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $186.08 / $229.63 / $240.01	Professional	26	$186.08	$229.63	$240.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $490.51 / $605.33 / $635.79	Professional	TC	$490.51	$605.33	$635.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.46 / $108.46 / $108.46	Facility	26	$108.46	$108.46	$108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.52 / $659.75 / $908.05	Professional		$473.52	$659.75	$908.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.70 / $167.12 / $246.61	Professional	26	$100.70	$167.12	$246.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $351.81 / $483.39 / $665.32	Professional	TC	$351.81	$483.39	$665.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $887.84 / $887.84 / $887.84	Facility	26	$887.84	$887.84	$887.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $686.39 / $2,326.86	Professional		$373.53	$686.39	$2,326.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.49 / $202.42 / $600.70	Professional	26	$102.49	$202.42	$600.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $271.04 / $500.57 / $2,909.00	Professional	TC	$271.04	$500.57	$2,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $667.50 / $987.96	Professional		$373.53	$667.50	$987.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.33 / $192.30 / $251.42	Professional	26	$111.33	$192.30	$251.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $271.04 / $482.28 / $752.88	Professional	TC	$271.04	$482.28	$752.88