Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.20 / $83.20 / $190.82	Facility	26	$83.20	$83.20	$190.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.52 / $325.00 / $490.75	Professional		$210.52	$325.00	$490.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.20 / $113.94 / $304.38	Professional	26	$83.20	$113.94	$304.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $213.12 / $364.43	Professional	TC	$127.32	$213.12	$364.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.57 / $1,015.10 / $1,064.54	Professional		$822.57	$1,015.10	$1,064.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $219.62 / $271.02 / $283.27	Professional	26	$219.62	$271.02	$283.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $602.95 / $744.09 / $780.32	Professional	TC	$602.95	$744.09	$780.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.28 / $128.28 / $128.28	Facility	26	$128.28	$128.28	$128.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.71 / $787.09 / $1,121.29	Professional		$573.71	$787.09	$1,121.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.59 / $189.78 / $285.61	Professional	26	$116.59	$189.78	$285.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $391.39 / $594.41 / $831.21	Professional	TC	$391.39	$594.41	$831.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,048.24 / $1,048.24 / $1,048.24	Facility	26	$1,048.24	$1,048.24	$1,048.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $791.62 / $4,801.00	Professional		$450.76	$791.62	$4,801.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $120.90 / $227.53 / $1,632.94	Professional	26	$120.90	$227.53	$1,632.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $329.86 / $571.38 / $3,601.00	Professional	TC	$329.86	$571.38	$3,601.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.56 / $768.24 / $1,215.09	Professional		$435.56	$768.24	$1,215.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.47 / $215.55 / $296.30	Professional	26	$103.47	$215.55	$296.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.24 / $562.54 / $831.44	Professional	TC	$317.24	$562.54	$831.44