Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.11 / $87.11 / $139.22	Facility	26	$87.11	$87.11	$139.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.97 / $355.24 / $507.46	Professional		$295.97	$355.24	$507.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.72 / $87.11 / $140.00	Professional	26	$78.72	$87.11	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.25 / $268.13 / $368.50	Professional	TC	$217.25	$268.13	$368.50
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 $159.78 / $197.18 / $206.10	Professional	26	$159.78	$197.18	$206.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $444.48 / $548.52 / $575.24	Professional	TC	$444.48	$548.52	$575.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.01 / $655.40 / $1,050.22	Professional		$444.01	$655.40	$1,050.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.38 / $150.91 / $208.68	Professional	26	$86.38	$150.91	$208.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $335.43 / $529.61 / $830.66	Professional	TC	$335.43	$529.61	$830.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $764.32 / $764.32 / $764.32	Facility	26	$764.32	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $859.01 / $3,392.38	Professional		$428.75	$859.01	$3,392.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.14 / $166.02 / $667.05	Professional	26	$87.14	$166.02	$667.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $322.20 / $668.02 / $2,981.99	Professional	TC	$322.20	$668.02	$2,981.99
United Facility/Professional Professional Modifier Low / Median / High Price $357.29 / $725.30 / $1,161.19	Professional		$357.29	$725.30	$1,161.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.78 / $159.88 / $217.08	Professional	26	$88.78	$159.88	$217.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $313.16 / $537.36 / $742.24	Professional	TC	$313.16	$537.36	$742.24