Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.61 / $128.61 / $208.57	Facility	26	$128.61	$128.61	$208.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $475.00 / $607.29	Professional		$376.07	$475.00	$607.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.72 / $140.00 / $439.23	Professional	26	$124.72	$140.00	$439.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.04 / $335.00 / $405.68	Professional	TC	$249.04	$335.00	$405.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.31 / $890.13 / $933.50	Professional		$721.31	$890.13	$933.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $239.34 / $295.36 / $308.72	Professional	26	$239.34	$295.36	$308.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $481.97 / $594.77 / $629.99	Professional	TC	$481.97	$594.77	$629.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.38 / $139.38 / $139.38	Facility	26	$139.38	$139.38	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.92 / $773.24 / $1,160.45	Professional		$514.92	$773.24	$1,160.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.43 / $223.31 / $312.58	Professional	26	$129.43	$223.31	$312.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.75 / $523.17 / $879.26	Professional	TC	$363.75	$523.17	$879.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,142.00 / $1,142.00 / $1,142.00	Facility	26	$1,142.00	$1,142.00	$1,142.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.45 / $821.50 / $3,919.13	Professional		$460.45	$821.50	$3,919.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $125.07 / $245.18 / $771.93	Professional	26	$125.07	$245.18	$771.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $296.30 / $568.76 / $3,292.02	Professional	TC	$296.30	$568.76	$3,292.02
United Facility/Professional Professional Modifier Low / Median / High Price $447.78 / $771.10 / $1,258.84	Professional		$447.78	$771.10	$1,258.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $130.28 / $233.60 / $320.95	Professional	26	$130.28	$233.60	$320.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.30 / $547.29 / $830.43	Professional	TC	$296.30	$547.29	$830.43