Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $612.13 / $834.99	Facility		$106.34	$612.13	$834.99
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.31 / $28.31 / $45.74	Facility	26	$28.31	$28.31	$45.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $119.81 / $317.70	Professional		$102.20	$119.81	$317.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $27.47 / $87.22	Professional	26	$24.07	$27.47	$87.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.10 / $58.64 / $58.79	Professional	52	$47.10	$58.64	$58.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.37 / $94.28 / $253.39	Professional	TC	$78.37	$94.28	$253.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.67 / $266.14 / $279.11	Professional		$215.67	$266.14	$279.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.60 / $64.92 / $67.84	Professional	26	$52.60	$64.92	$67.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.06 / $201.23 / $211.03	Professional	TC	$163.06	$201.23	$211.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $123.40 / $123.40	Facility		$123.40	$123.40	$123.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.47 / $30.47 / $30.47	Facility	26	$30.47	$30.47	$30.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $186.21 / $289.88	Professional		$96.64	$186.21	$289.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $50.12 / $68.98	Professional	26	$29.87	$50.12	$68.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.31 / $132.90 / $220.90	Professional	TC	$72.31	$132.90	$220.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.27 / $181.40 / $366.00	Facility		$117.27	$181.40	$366.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $212.65 / $726.73	Professional		$118.01	$212.65	$726.73
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.67 / $53.62 / $255.92	Professional	26	$33.67	$53.62	$255.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.14 / $168.85 / $554.94	Professional	TC	$89.14	$168.85	$554.94
United Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $199.36 / $263.02	Professional		$118.01	$199.36	$263.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $48.13 / $66.61	Professional	26	$28.87	$48.13	$66.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.14 / $152.86 / $196.42	Professional	TC	$89.14	$152.86	$196.42