Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $549.54 / $891.25	Facility		$229.09	$549.54	$891.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $47.86	Facility	26	$26.92	$26.92	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $109.65 / $173.78	Professional		$26.30	$109.65	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $52.48 / $81.28	Professional	26	$23.99	$52.48	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $81.28 / $134.90	Professional	TC	$50.12	$81.28	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $295.12	Professional		$199.53	$263.03	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $67.61	Professional	26	$45.71	$61.66	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $204.17 / $223.87	Professional	TC	$151.36	$204.17	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $245.47	Professional		$151.36	$173.78	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $63.10	Professional	26	$34.67	$39.81	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $134.90 / $190.55	Professional	TC	$112.20	$134.90	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $426.58	Facility		$109.65	$186.21	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $218.78	Professional		$75.86	$169.82	$218.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $47.86 / $56.23	Professional	26	$26.30	$47.86	$56.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $117.49 / $162.18	Professional	TC	$50.12	$117.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $263.03	Professional		$93.33	$169.82	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $48.98 / $70.79	Professional	26	$26.30	$48.98	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $123.03 / $194.98	Professional	TC	$72.44	$123.03	$194.98