Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.32 / $716.01 / $819.09	Facility		$397.32	$716.01	$819.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.39 / $29.40 / $49.97	Facility	26	$29.39	$29.40	$49.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $62.61 / $399.70 / $484.79	Facility	TC	$62.61	$399.70	$484.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $96.71 / $154.71	Professional		$81.06	$96.71	$154.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $29.40 / $80.45	Professional	26	$25.26	$29.40	$80.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.17 / $80.89 / $204.70	Professional	TC	$59.17	$80.89	$204.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $210.98 / $220.51	Professional		$170.96	$210.98	$220.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.58 / $67.34 / $70.39	Professional	26	$54.58	$67.34	$70.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $116.38 / $143.62 / $150.62	Professional	TC	$116.38	$143.62	$150.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.67 / $31.67 / $31.67	Facility	26	$31.67	$31.67	$31.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $66.73 / $66.73 / $66.73	Facility	TC	$66.73	$66.73	$66.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $153.00 / $232.42	Professional		$93.60	$153.00	$232.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.78 / $52.02 / $71.59	Professional	26	$31.78	$52.02	$71.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.27 / $107.64 / $159.68	Professional	TC	$61.27	$107.64	$159.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.01 / $150.26 / $398.02	Facility		$92.01	$150.26	$398.02
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $353.65 / $442.50 / $504.42	Facility	TC	$353.65	$442.50	$504.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $166.95 / $568.24	Professional		$92.75	$166.95	$568.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.43 / $59.32 / $144.77	Professional	26	$38.43	$59.32	$144.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.30 / $118.30 / $390.02	Professional	TC	$69.30	$118.30	$390.02
United Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $156.86 / $219.82	Professional		$92.75	$156.86	$219.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.08 / $50.42 / $73.26	Professional	26	$30.08	$50.42	$73.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.80 / $106.44 / $156.09	Professional	TC	$62.80	$106.44	$156.09