Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.46 / $83.46 / $192.83	Facility	26	$83.46	$83.46	$192.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.78 / $335.52 / $444.03	Professional		$210.78	$335.52	$444.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.46 / $111.49 / $258.99	Professional	26	$83.46	$111.49	$258.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $227.00 / $292.83	Professional	TC	$127.32	$227.00	$292.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.01 / $798.44 / $836.20	Professional		$647.01	$798.44	$836.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $221.59 / $273.45 / $285.81	Professional	26	$221.59	$273.45	$285.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $425.42 / $524.99 / $550.57	Professional	TC	$425.42	$524.99	$550.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.36 / $642.50 / $960.90	Professional		$471.36	$642.50	$960.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.95 / $199.42 / $293.63	Professional	26	$119.95	$199.42	$293.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $320.89 / $432.19 / $639.95	Professional	TC	$320.89	$432.19	$639.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,056.00 / $1,056.00 / $1,056.00	Facility	26	$1,056.00	$1,056.00	$1,056.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.90 / $806.13 / $2,091.94	Professional		$378.90	$806.13	$2,091.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $116.05 / $226.77 / $711.82	Professional	26	$116.05	$226.77	$711.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $255.94 / $548.87 / $1,773.11	Professional	TC	$255.94	$548.87	$1,773.11
United Facility/Professional Professional Modifier Low / Median / High Price $395.46 / $763.70 / $913.79	Professional		$395.46	$763.70	$913.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $127.14 / $218.36 / $297.48	Professional	26	$127.14	$218.36	$297.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $293.63 / $539.03 / $860.22	Professional	TC	$293.63	$539.03	$860.22