Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.63 / $89.63 / $143.91	Facility	26	$89.63	$89.63	$143.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.66 / $391.51 / $560.23	Professional		$328.66	$391.51	$560.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $89.63 / $154.00	Professional	26	$81.40	$89.63	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.26 / $301.87 / $425.89	Professional	TC	$247.26	$301.87	$425.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.97 / $831.72 / $872.23	Professional		$673.97	$831.72	$872.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.70 / $204.48 / $213.72	Professional	26	$165.70	$204.48	$213.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $508.27 / $627.24 / $657.79	Professional	TC	$508.27	$627.24	$657.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.84 / $657.21 / $1,004.53	Professional		$495.84	$657.21	$1,004.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.81 / $156.69 / $215.66	Professional	26	$89.81	$156.69	$215.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $383.49 / $504.72 / $765.03	Professional	TC	$383.49	$504.72	$765.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.92 / $789.92 / $789.92	Facility	26	$789.92	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.65 / $783.02 / $3,007.15	Professional		$441.65	$783.02	$3,007.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.73 / $170.79 / $848.54	Professional	26	$90.73	$170.79	$848.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $348.23 / $603.76 / $2,544.17	Professional	TC	$348.23	$603.76	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $415.03 / $731.63 / $1,219.53	Professional		$415.03	$731.63	$1,219.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.71 / $165.11 / $223.40	Professional	26	$87.71	$165.11	$223.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $315.17 / $594.44 / $998.02	Professional	TC	$315.17	$594.44	$998.02