Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.93 / $828.50 / $997.04	Facility		$101.93	$828.50	$997.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.92 / $31.92 / $51.55	Facility	26	$31.92	$31.92	$51.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $179.53 / $287.79	Professional		$54.72	$179.53	$287.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $31.92 / $86.64	Professional	26	$29.01	$31.92	$86.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.78 / $150.53 / $247.14	Professional	TC	$25.78	$150.53	$247.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $143.62 / $150.12	Professional		$116.38	$143.62	$150.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.18 / $73.02 / $76.33	Professional	26	$59.18	$73.02	$76.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.21 / $70.16 / $73.79	Professional	TC	$57.21	$70.16	$73.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $65.84	Facility		$65.84	$65.84	$65.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Facility	26	$34.51	$34.51	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $112.28 / $196.68	Professional		$74.39	$112.28	$196.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.44 / $56.46 / $78.95	Professional	26	$36.44	$56.46	$78.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $55.83 / $147.58	Professional	TC	$35.15	$55.83	$147.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $101.93 / $327.76	Facility		$57.72	$101.93	$327.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $115.44 / $947.00	Professional		$66.79	$115.44	$947.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.01 / $63.84 / $368.00	Professional	26	$34.01	$63.84	$368.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.01 / $52.93 / $758.00	Professional	TC	$31.01	$52.93	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $109.30 / $164.51	Professional		$69.50	$109.30	$164.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $55.30 / $77.88	Professional	26	$33.59	$55.30	$77.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.01 / $47.92 / $87.06	Professional	TC	$31.01	$47.92	$87.06