Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $676.08 / $1,023.29	Facility		$95.50	$676.08	$1,023.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.90 / $54.95	Facility	26	$30.20	$30.90	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $288.40	Professional		$47.86	$74.13	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $93.33	Professional	26	$25.70	$38.90	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $31.62 / $169.82	Professional	TC	$20.89	$31.62	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $151.36	Professional		$102.33	$138.04	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $77.62	Professional	26	$52.48	$69.18	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $67.61 / $74.13	Professional	TC	$50.12	$67.61	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $194.98	Professional		$58.88	$112.20	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $77.62	Professional	26	$30.20	$45.71	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $54.95 / $147.91	Professional	TC	$26.30	$54.95	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $102.33 / $389.05	Facility		$57.54	$102.33	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $954.99	Professional		$61.66	$114.82	$954.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $58.88 / $371.54	Professional	26	$33.88	$58.88	$371.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $56.23 / $758.58	Professional	TC	$28.18	$56.23	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $194.98	Professional		$61.66	$109.65	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $77.62	Professional	26	$32.36	$48.98	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $51.29 / $128.82	Professional	TC	$27.54	$51.29	$128.82