Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $427.51 / $427.51 / $730.46	Facility	26	$427.51	$427.51	$730.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,818.41 / $1,938.79 / $2,326.09	Professional		$1,818.41	$1,938.79	$2,326.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $424.89 / $2,098.55	Professional	26	$347.37	$424.89	$2,098.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,399.48 / $1,542.03 / $1,922.49	Professional	TC	$1,399.48	$1,542.03	$1,922.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,575.82 / $3,884.00 / $4,588.97	Professional		$3,575.82	$3,884.00	$4,588.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $817.72 / $876.63 / $1,035.33	Professional	26	$817.72	$876.63	$1,035.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2,758.11 / $3,007.72 / $3,553.64	Professional	TC	$2,758.11	$3,007.72	$3,553.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,015.88 / $3,568.99 / $4,712.00	Professional		$2,015.88	$3,568.99	$4,712.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $498.08 / $779.00 / $998.20	Professional	26	$498.08	$779.00	$998.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,595.06 / $2,770.95 / $3,787.54	Professional	TC	$1,595.06	$2,770.95	$3,787.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.20 / $3,787.65 / $13,450.23	Professional		$1,949.20	$3,787.65	$13,450.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $432.71 / $830.90 / $2,845.07	Professional	26	$432.71	$830.90	$2,845.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,516.49 / $3,022.56 / $9,015.64	Professional	TC	$1,516.49	$3,022.56	$9,015.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.20 / $3,564.43 / $4,881.89	Professional		$1,949.20	$3,564.43	$4,881.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $432.71 / $788.71 / $1,067.85	Professional	26	$432.71	$788.71	$1,067.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,516.49 / $2,816.62 / $3,814.04	Professional	TC	$1,516.49	$2,816.62	$3,814.04