Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.06 / $681.18 / $1,270.80	Facility		$332.06	$681.18	$1,270.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.93 / $40.93 / $65.25	Facility	26	$40.93	$40.93	$65.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $136.03 / $326.63	Professional		$109.89	$136.03	$326.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.04 / $105.02	Professional	26	$34.67	$39.04	$105.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.11 / $99.56 / $274.50	Professional	TC	$73.11	$99.56	$274.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.50 / $280.76 / $294.43	Professional		$227.50	$280.76	$294.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $92.50 / $96.68	Professional	26	$74.95	$92.50	$96.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.55 / $188.26 / $197.42	Professional	TC	$152.55	$188.26	$197.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $210.00 / $308.70	Professional		$129.19	$210.00	$308.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.79 / $71.05 / $97.79	Professional	26	$43.79	$71.05	$97.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.68 / $142.97 / $209.35	Professional	TC	$84.68	$142.97	$209.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $192.31 / $372.36	Facility		$124.12	$192.31	$372.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $225.41 / $760.68	Professional		$125.23	$225.41	$760.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.68 / $76.27 / $303.79	Professional	26	$44.68	$76.27	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.37 / $153.01 / $518.02	Professional	TC	$83.37	$153.01	$518.02
United Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $211.00 / $289.77	Professional		$125.23	$211.00	$289.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.86 / $69.58 / $101.91	Professional	26	$41.86	$69.58	$101.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.37 / $141.88 / $198.00	Professional	TC	$83.37	$141.88	$198.00