Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.06 / $84.06 / $142.69	Facility	26	$84.06	$84.06	$142.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.25 / $506.65 / $1,110.68	Professional		$470.25	$506.65	$1,110.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $84.06 / $526.29	Professional	26	$67.73	$84.06	$526.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $388.47 / $422.60 / $515.29	Professional	TC	$388.47	$422.60	$515.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.53 / $942.23 / $1,113.25	Professional		$850.53	$942.23	$1,113.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $159.55 / $171.89 / $203.09	Professional	26	$159.55	$171.89	$203.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $690.97 / $770.35 / $910.17	Professional	TC	$690.97	$770.35	$910.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.04 / $842.23 / $1,174.34	Professional		$474.04	$842.23	$1,174.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.25 / $151.85 / $195.58	Professional	26	$97.25	$151.85	$195.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $375.40 / $697.18 / $959.56	Professional	TC	$375.40	$697.18	$959.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $508.14 / $995.81 / $4,499.00	Professional		$508.14	$995.81	$4,499.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $162.82 / $1,350.00	Professional	26	$85.17	$162.82	$1,350.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $422.97 / $845.18 / $3,149.00	Professional	TC	$422.97	$845.18	$3,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.14 / $890.99 / $1,277.13	Professional		$508.14	$890.99	$1,277.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.34 / $97.86 / $209.92	Professional	26	$81.34	$97.86	$209.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $422.97 / $752.59 / $1,067.21	Professional	TC	$422.97	$752.59	$1,067.21