Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.11 / $61.11 / $140.09	Facility	26	$61.11	$61.11	$140.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.79 / $264.62 / $325.00	Professional		$175.79	$264.62	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.11 / $79.20 / $103.65	Professional	26	$61.11	$79.20	$103.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.69 / $183.04 / $238.57	Professional	TC	$114.69	$183.04	$238.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.32 / $563.13 / $590.55	Professional		$456.32	$563.13	$590.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $160.43 / $197.99 / $206.94	Professional	26	$160.43	$197.99	$206.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.89 / $365.14 / $382.93	Professional	TC	$295.89	$365.14	$382.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.84 / $93.84 / $93.84	Facility	26	$93.84	$93.84	$93.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.68 / $444.06 / $620.97	Professional		$290.68	$444.06	$620.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.61 / $146.26 / $213.79	Professional	26	$86.61	$146.26	$213.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.30 / $291.18 / $407.18	Professional	TC	$198.30	$291.18	$407.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $768.32 / $768.32 / $768.32	Facility	26	$768.32	$768.32	$768.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.99 / $542.79 / $1,515.48	Professional		$252.99	$542.79	$1,515.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.25 / $165.64 / $521.79	Professional	26	$85.25	$165.64	$521.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $167.99 / $361.76 / $993.68	Professional	TC	$167.99	$361.76	$993.68
United Facility/Professional Professional Modifier Low / Median / High Price $252.99 / $488.27 / $663.31	Professional		$252.99	$488.27	$663.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.78 / $159.66 / $217.65	Professional	26	$88.78	$159.66	$217.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.99 / $327.68 / $427.03	Professional	TC	$167.99	$327.68	$427.03