Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.41 / $93.79 / $136.43	Facility	26	$79.41	$93.79	$136.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $335.47 / $532.51	Professional		$250.00	$335.47	$532.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $87.45 / $140.00	Professional	26	$62.50	$87.45	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $248.02 / $395.18	Professional	TC	$187.50	$248.02	$395.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $316.05 / $433.98	Professional		$82.25	$316.05	$433.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.63 / $79.63 / $127.75	Facility	26	$79.63	$79.63	$127.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.86 / $476.44 / $729.54	Professional		$259.86	$476.44	$729.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.91 / $81.43 / $137.15	Professional	26	$70.91	$81.43	$137.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.96 / $380.61 / $630.39	Professional	TC	$186.96	$380.61	$630.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $764.32 / $764.32	Facility	26	$593.12	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.83 / $460.02 / $3,392.38	Professional		$310.83	$460.02	$3,392.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $93.74 / $667.05	Professional	26	$70.54	$93.74	$667.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $233.60 / $460.12 / $2,981.99	Professional	TC	$233.60	$460.12	$2,981.99
United Facility/Professional Professional Modifier Low / Median / High Price $310.83 / $409.39 / $710.65	Professional		$310.83	$409.39	$710.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $88.78 / $165.81	Professional	26	$70.54	$88.78	$165.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.23 / $322.20 / $609.04	Professional	TC	$228.23	$322.20	$609.04