Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $114.82 / $186.21	Facility	26	$112.20	$114.82	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $1,148.15	Professional		$302.00	$457.09	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $162.18 / $323.59	Professional	26	$97.72	$162.18	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $316.23 / $851.14	Professional	TC	$208.93	$316.23	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $891.25	Professional		$602.56	$812.83	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $251.19 / $281.84	Professional	26	$190.55	$251.19	$281.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $549.54 / $616.60	Professional	TC	$416.87	$549.54	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $933.25	Professional		$380.19	$549.54	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $162.18 / $281.84	Professional	26	$93.33	$162.18	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $380.19 / $645.65	Professional	TC	$263.03	$380.19	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	26	$1,023.29	$1,023.29	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $912.01 / $2,344.23	Professional		$407.38	$912.01	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $194.98 / $691.83	Professional	26	$100.00	$194.98	$691.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $758.58 / $1,659.59	Professional	TC	$288.40	$758.58	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $812.83 / $1,122.02	Professional		$407.38	$812.83	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $144.54 / $281.84	Professional	26	$85.11	$144.54	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $630.96 / $954.99	Professional	TC	$288.40	$630.96	$954.99