Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.84 / $505.23 / $631.50	Facility	26	$208.84	$505.23	$631.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $434.56 / $879.49	Professional		$317.47	$434.56	$879.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $149.40 / $242.46	Professional	26	$131.81	$149.40	$242.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $268.27 / $583.47	Professional	TC	$185.65	$268.27	$583.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.15 / $482.20 / $961.39	Professional		$470.15	$482.20	$961.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $155.85 / $159.85 / $318.70	Professional	26	$155.85	$159.85	$318.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $314.29 / $322.35 / $642.69	Professional	TC	$314.29	$322.35	$642.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $469.71 / $692.62	Professional		$369.00	$469.71	$692.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.09 / $192.02 / $291.00	Professional	26	$128.09	$192.02	$291.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.11 / $286.58 / $414.74	Professional	TC	$210.11	$286.58	$414.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $357.19 / $697.88 / $697.88	Facility	26	$357.19	$697.88	$697.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $419.76 / $501.07 / $2,872.34	Professional		$419.76	$501.07	$2,872.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $160.96 / $197.11 / $948.42	Professional	26	$160.96	$197.11	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $240.81 / $303.27 / $1,923.92	Professional	TC	$240.81	$303.27	$1,923.92
United Facility/Professional Professional Modifier Low / Median / High Price $419.19 / $487.69 / $710.64	Professional		$419.19	$487.69	$710.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $159.97 / $196.24 / $303.13	Professional	26	$159.97	$196.24	$303.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.81 / $303.27 / $557.80	Professional	TC	$240.81	$303.27	$557.80