Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.94 / $154.94 / $264.76	Facility	26	$154.94	$154.94	$264.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $414.03 / $478.02	Professional		$317.47	$414.03	$478.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $154.94 / $155.94	Professional	26	$131.81	$154.94	$155.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $259.08 / $322.08	Professional	TC	$185.65	$259.08	$322.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.56 / $966.79 / $1,142.27	Professional		$895.56	$966.79	$1,142.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $296.58 / $317.12 / $374.06	Professional	26	$296.58	$317.12	$374.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $598.97 / $649.66 / $767.60	Professional	TC	$598.97	$649.66	$767.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.18 / $712.53 / $1,225.86	Professional		$430.18	$712.53	$1,225.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.92 / $273.17 / $398.15	Professional	26	$165.92	$273.17	$398.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.34 / $481.11 / $827.72	Professional	TC	$236.34	$481.11	$827.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $716.94 / $2,872.34	Professional		$394.32	$716.94	$2,872.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $156.99 / $286.77 / $948.42	Professional	26	$156.99	$286.77	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $228.29 / $415.08 / $1,923.92	Professional	TC	$228.29	$415.08	$1,923.92
United Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $645.25 / $1,040.38	Professional		$394.32	$645.25	$1,040.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $156.99 / $280.70 / $386.93	Professional	26	$156.99	$280.70	$386.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.03 / $394.32 / $638.53	Professional	TC	$234.03	$394.32	$638.53