Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.58 / $117.39 / $125.08	Facility	26	$73.58	$117.39	$125.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $325.45 / $532.00	Professional		$202.93	$325.45	$532.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.72 / $117.39 / $358.67	Professional	26	$70.72	$117.39	$358.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.76 / $216.40 / $368.50	Professional	TC	$130.76	$216.40	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $482.80 / $506.32	Professional		$391.23	$482.80	$506.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.79 / $166.34 / $173.87	Professional	26	$134.79	$166.34	$173.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $256.43 / $316.45 / $331.87	Professional	TC	$256.43	$316.45	$331.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.05 / $465.42 / $823.70	Professional		$285.05	$465.42	$823.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.92 / $126.97 / $175.50	Professional	26	$72.92	$126.97	$175.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.49 / $305.66 / $692.74	Professional	TC	$193.49	$305.66	$692.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.17 / $603.66 / $2,831.41	Professional		$285.17	$603.66	$2,831.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $145.82 / $579.54	Professional	26	$75.06	$145.82	$579.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $187.33 / $445.43 / $2,465.48	Professional	TC	$187.33	$445.43	$2,465.48
United Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $485.94 / $743.63	Professional		$241.27	$485.94	$743.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $135.29 / $183.31	Professional	26	$75.06	$135.29	$183.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.74 / $366.83 / $524.04	Professional	TC	$153.74	$366.83	$524.04