Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.21 / $110.21 / $177.70	Facility	26	$110.21	$110.21	$177.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.25 / $475.00 / $661.50	Professional		$349.25	$475.00	$661.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.14 / $154.00 / $439.23	Professional	26	$106.14	$154.00	$439.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.56 / $335.00 / $1,586.70	Professional	TC	$244.56	$335.00	$1,586.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.94 / $834.15 / $874.78	Professional		$675.94	$834.15	$874.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $204.49 / $252.35 / $263.76	Professional	26	$204.49	$252.35	$263.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $471.44 / $581.79 / $610.13	Professional	TC	$471.44	$581.79	$610.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.63 / $765.80 / $1,449.76	Professional		$494.63	$765.80	$1,449.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.81 / $193.48 / $267.51	Professional	26	$110.81	$193.48	$267.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $355.80 / $563.42 / $1,243.47	Professional	TC	$355.80	$563.42	$1,243.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $973.04 / $973.04 / $973.04	Facility	26	$973.04	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.82 / $970.46 / $6,025.38	Professional		$476.82	$970.46	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $227.62 / $891.52	Professional	26	$111.88	$227.62	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $342.56 / $719.90 / $5,457.89	Professional	TC	$342.56	$719.90	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $416.63 / $845.05 / $1,291.39	Professional		$416.63	$845.05	$1,291.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $204.86 / $274.91	Professional	26	$111.88	$204.86	$274.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $335.07 / $598.23 / $927.78	Professional	TC	$335.07	$598.23	$927.78