Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $89.13 / $144.54	Facility	26	$85.11	$89.13	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $831.76	Professional		$346.74	$457.09	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $213.80	Professional	26	$85.11	$125.89	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $616.60	Professional	TC	$263.03	$338.84	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $870.96	Professional		$602.56	$794.33	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $194.98 / $213.80	Professional	26	$147.91	$194.98	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $602.56 / $660.69	Professional	TC	$446.68	$602.56	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $933.25	Professional		$426.58	$616.60	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $125.89 / $218.78	Professional	26	$77.62	$125.89	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $501.19 / $758.58	Professional	TC	$323.59	$501.19	$758.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $3,019.95	Professional		$398.11	$724.44	$3,019.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $162.18 / $851.14	Professional	26	$87.10	$162.18	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $562.34 / $2,570.40	Professional	TC	$302.00	$562.34	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $954.99	Professional		$398.11	$676.08	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $151.36 / $223.87	Professional	26	$77.62	$151.36	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $524.81 / $741.31	Professional	TC	$302.00	$524.81	$741.31