Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $741.31	Facility	26	$426.58	$426.58	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $4,073.80	Professional		$1,584.89	$1,995.26	$4,073.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $616.60 / $1,071.52	Professional	26	$371.54	$616.60	$1,071.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,202.26 / $1,513.56 / $2,238.72	Professional	TC	$1,202.26	$1,513.56	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $4,677.35	Professional		$3,235.94	$3,801.89	$4,677.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $741.31 / $870.96 / $1,071.52	Professional	26	$741.31	$870.96	$1,071.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2,511.89 / $2,951.21 / $3,630.78	Professional	TC	$2,511.89	$2,951.21	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,677.35	Professional		$2,344.23	$2,951.21	$4,677.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $501.19 / $724.44 / $1,000.00	Professional	26	$501.19	$724.44	$1,000.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,737.80 / $2,290.87 / $3,801.89	Professional	TC	$1,737.80	$2,290.87	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $13,489.63	Professional		$1,949.84	$3,715.35	$13,489.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $831.76 / $2,818.38	Professional	26	$436.52	$831.76	$2,818.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,513.56 / $2,951.21 / $8,912.51	Professional	TC	$1,513.56	$2,951.21	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $4,897.79	Professional		$1,862.09	$3,548.13	$4,897.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $407.38 / $776.25 / $1,096.48	Professional	26	$407.38	$776.25	$1,096.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,445.44 / $2,818.38 / $3,801.89	Professional	TC	$1,445.44	$2,818.38	$3,801.89