Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.44 / $80.44 / $129.04	Facility	26	$80.44	$80.44	$129.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $253.84 / $475.00	Professional		$198.16	$253.84	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.17 / $80.44 / $140.00	Professional	26	$65.17	$80.44	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.02 / $173.41 / $335.00	Professional	TC	$127.02	$173.41	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.26 / $539.60 / $565.89	Professional		$437.26	$539.60	$565.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.94 / $182.58 / $190.83	Professional	26	$147.94	$182.58	$190.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $289.31 / $357.03 / $374.42	Professional	TC	$289.31	$357.03	$374.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.45 / $86.45 / $86.45	Facility	26	$86.45	$86.45	$86.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $425.67 / $585.87	Professional		$281.83	$425.67	$585.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.41 / $128.38 / $195.56	Professional	26	$75.41	$128.38	$195.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.99 / $285.47 / $399.08	Professional	TC	$189.99	$285.47	$399.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $707.68 / $707.68 / $707.68	Facility	26	$707.68	$707.68	$707.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.70 / $830.41 / $1,484.56	Professional		$322.70	$830.41	$1,484.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.65 / $156.10 / $478.82	Professional	26	$78.65	$156.10	$478.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $208.31 / $747.17 / $1,005.68	Professional	TC	$208.31	$747.17	$1,005.68
United Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $597.52 / $1,086.40	Professional		$269.63	$597.52	$1,086.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.65 / $147.88 / $200.48	Professional	26	$78.65	$147.88	$200.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.31 / $437.90 / $936.49	Professional	TC	$208.31	$437.90	$936.49