Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $537.03 / $812.83	Facility		$295.12	$537.03	$812.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.84 / $47.86	Facility	26	$28.18	$28.84	$47.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $61.66 / $104.71 / $575.44	Facility	TC	$61.66	$104.71	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $245.47	Professional		$72.44	$107.15	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $40.74 / $77.62	Professional	26	$25.12	$40.74	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $72.44 / $204.17	Professional	TC	$50.12	$72.44	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $223.87	Professional		$151.36	$199.53	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $70.79	Professional	26	$47.86	$64.57	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $138.04 / $151.36	Professional	TC	$102.33	$138.04	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $229.09	Professional		$87.10	$134.90	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $41.69 / $70.79	Professional	26	$27.54	$41.69	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $93.33 / $158.49	Professional	TC	$58.88	$93.33	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $173.78 / $398.11	Facility		$91.20	$173.78	$398.11
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $354.81 / $436.52 / $501.19	Facility	TC	$354.81	$436.52	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $562.34	Professional		$93.33	$165.96	$562.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $61.66 / $158.49	Professional	26	$36.31	$61.66	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $120.23 / $389.05	Professional	TC	$63.10	$120.23	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $223.87	Professional		$93.33	$147.91	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $44.67 / $72.44	Professional	26	$29.51	$44.67	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $100.00 / $151.36	Professional	TC	$63.10	$100.00	$151.36