Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.31 / $155.31 / $265.33	Facility	26	$155.31	$155.31	$265.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $280.45 / $297.95	Professional		$255.18	$280.45	$297.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $152.52 / $156.29	Professional	26	$131.81	$152.52	$156.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $133.78 / $145.68	Professional	TC	$123.37	$133.78	$145.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.58 / $604.77 / $714.54	Professional		$563.58	$604.77	$714.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $297.24 / $318.64 / $375.51	Professional	26	$297.24	$318.64	$375.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.36 / $286.95 / $339.04	Professional	TC	$266.36	$286.95	$339.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.74 / $498.95 / $766.60	Professional		$317.74	$498.95	$766.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.92 / $273.17 / $399.02	Professional	26	$165.92	$273.17	$399.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.82 / $229.57 / $367.59	Professional	TC	$151.82	$229.57	$367.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $554.52 / $1,788.06	Professional		$295.93	$554.52	$1,788.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $157.35 / $301.86 / $948.42	Professional	26	$157.35	$301.86	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.58 / $267.75 / $839.64	Professional	TC	$138.58	$267.75	$839.64
United Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $525.33 / $734.95	Professional		$295.93	$525.33	$734.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $157.35 / $281.32 / $387.83	Professional	26	$157.35	$281.32	$387.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.58 / $264.61 / $347.12	Professional	TC	$138.58	$264.61	$347.12