Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.43 / $61.43 / $61.43	Facility	26	$61.43	$61.43	$61.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $209.84 / $475.00	Professional		$155.60	$209.84	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.59 / $72.26 / $140.00	Professional	26	$50.59	$72.26	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.01 / $136.85 / $335.00	Professional	TC	$105.01	$136.85	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $227.15 / $311.91	Professional		$75.59	$227.15	$311.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.55 / $121.55 / $121.55	Facility	26	$121.55	$121.55	$121.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.18 / $221.26 / $372.66	Professional		$188.18	$221.26	$372.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.75 / $75.16 / $126.58	Professional	26	$63.75	$75.16	$126.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.69 / $146.11 / $246.07	Professional	TC	$121.69	$146.11	$246.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.04 / $707.68 / $707.68	Facility	26	$549.04	$707.68	$707.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $306.61 / $1,484.56	Professional		$217.18	$306.61	$1,484.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $81.92 / $478.82	Professional	26	$66.34	$81.92	$478.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.02 / $343.53 / $1,005.68	Professional	TC	$151.02	$343.53	$1,005.68
United Facility/Professional Professional Modifier Low / Median / High Price $222.29 / $306.61 / $1,023.66	Professional		$222.29	$306.61	$1,023.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $81.92 / $127.06	Professional	26	$66.34	$81.92	$127.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.02 / $208.31 / $763.70	Professional	TC	$151.02	$208.31	$763.70