Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $269.15	Facility	26	$154.88	$154.88	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $467.74	Professional		$245.47	$288.40	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $154.88 / $426.58	Professional	26	$131.83	$154.88	$426.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $138.04 / $208.93	Professional	TC	$109.65	$138.04	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $741.31	Professional		$512.86	$630.96	$741.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $331.13 / $389.05	Professional	26	$269.15	$331.13	$389.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $295.12 / $354.81	Professional	TC	$239.88	$295.12	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $776.25	Professional		$316.23	$489.78	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $257.04 / $398.11	Professional	26	$165.96	$257.04	$398.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $223.87 / $371.54	Professional	TC	$151.36	$223.87	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $1,778.28	Professional		$295.12	$549.54	$1,778.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $288.40 / $954.99	Professional	26	$158.49	$288.40	$954.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $263.03 / $831.76	Professional	TC	$138.04	$263.03	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $537.03 / $758.58	Professional		$281.84	$537.03	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $281.84 / $398.11	Professional	26	$151.36	$281.84	$398.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $257.04 / $363.08	Professional	TC	$131.83	$257.04	$363.08