Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.46 / $84.46 / $194.31	Facility	26	$84.46	$84.46	$194.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $227.87 / $325.00	Professional		$162.90	$227.87	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.46 / $109.34 / $143.15	Professional	26	$84.46	$109.34	$143.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.44 / $111.79 / $200.83	Professional	TC	$78.44	$111.79	$200.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.91 / $1,014.29 / $1,063.69	Professional		$821.91	$1,014.29	$1,063.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $223.56 / $275.88 / $288.36	Professional	26	$223.56	$275.88	$288.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $598.35 / $738.41 / $779.20	Professional	TC	$598.35	$738.41	$779.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.66 / $129.66 / $129.66	Facility	26	$129.66	$129.66	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.01 / $641.48 / $1,103.63	Professional		$453.01	$641.48	$1,103.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.30 / $191.83 / $290.75	Professional	26	$117.30	$191.83	$290.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.10 / $472.48 / $812.88	Professional	TC	$244.10	$472.48	$812.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility	26	$1,061.59	$1,061.59	$1,061.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.79 / $891.85 / $1,915.39	Professional		$460.79	$891.85	$1,915.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $117.77 / $230.25 / $717.76	Professional	26	$117.77	$230.25	$717.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $341.07 / $669.48 / $1,435.54	Professional	TC	$341.07	$669.48	$1,435.54
United Facility/Professional Professional Modifier Low / Median / High Price $460.79 / $851.82 / $1,214.93	Professional		$460.79	$851.82	$1,214.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $122.70 / $219.90 / $300.87	Professional	26	$122.70	$219.90	$300.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $362.34 / $664.15 / $914.06	Professional	TC	$362.34	$664.15	$914.06