Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.98 / $321.29 / $337.95	Facility	26	$176.98	$321.29	$337.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.84 / $444.35 / $527.37	Professional		$350.84	$444.35	$527.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $150.49 / $184.82	Professional	26	$131.81	$150.49	$184.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.41 / $287.99 / $345.83	Professional	TC	$227.41	$287.99	$345.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.12 / $477.12 / $477.12	Professional		$477.12	$477.12	$477.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.43 / $473.38 / $717.29	Professional		$309.43	$473.38	$717.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.13 / $206.59 / $256.11	Professional	26	$131.13	$206.59	$256.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.01 / $266.79 / $463.58	Professional	TC	$174.01	$266.79	$463.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $357.19 / $357.19 / $357.19	Facility	26	$357.19	$357.19	$357.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.89 / $459.32 / $2,872.34	Professional		$404.89	$459.32	$2,872.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $156.99 / $198.61 / $948.42	Professional	26	$156.99	$198.61	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $240.45 / $281.93 / $1,923.92	Professional	TC	$240.45	$281.93	$1,923.92
United Facility/Professional Professional Modifier Low / Median / High Price $402.63 / $457.54 / $789.13	Professional		$402.63	$457.54	$789.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $154.94 / $196.71 / $307.63	Professional	26	$154.94	$196.71	$307.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $227.85 / $266.94 / $481.50	Professional	TC	$227.85	$266.94	$481.50