Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.68 / $107.68 / $182.59	Facility	26	$107.68	$107.68	$182.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $428.05 / $458.97	Professional		$393.25	$428.05	$458.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $105.26 / $107.71	Professional	26	$90.71	$105.26	$107.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $327.67 / $355.54	Professional	TC	$302.52	$327.67	$355.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.19 / $859.45 / $1,015.45	Professional		$777.19	$859.45	$1,015.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $203.95 / $219.60 / $259.45	Professional	26	$203.95	$219.60	$259.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $573.24 / $639.85 / $755.67	Professional	TC	$573.24	$639.85	$755.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.99 / $740.87 / $1,030.49	Professional		$482.99	$740.87	$1,030.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.38 / $188.70 / $250.39	Professional	26	$114.38	$188.70	$250.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $368.62 / $564.49 / $785.94	Professional	TC	$368.62	$564.49	$785.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $898.74 / $2,670.75	Professional		$460.86	$898.74	$2,670.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.35 / $208.82 / $657.16	Professional	26	$109.35	$208.82	$657.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $351.51 / $700.36 / $2,013.59	Professional	TC	$351.51	$700.36	$2,013.59
United Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $888.21 / $1,154.86	Professional		$460.86	$888.21	$1,154.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.72 / $198.51 / $268.74	Professional	26	$113.72	$198.51	$268.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $364.29 / $705.86 / $886.13	Professional	TC	$364.29	$705.86	$886.13