Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.52 / $136.78 / $225.06	Facility	26	$107.52	$136.78	$225.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.36 / $932.59 / $1,098.73	Professional		$888.36	$932.59	$1,098.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $798.15 / $833.59 / $983.79	Professional	TC	$798.15	$833.59	$983.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,170.97 / $1,170.97 / $1,170.97	Professional		$1,170.97	$1,170.97	$1,170.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.80 / $774.75 / $1,675.52	Professional		$347.80	$774.75	$1,675.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $474.74 / $931.81 / $1,506.07	Professional	TC	$474.74	$931.81	$1,506.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.06 / $223.06 / $223.06	Facility	26	$223.06	$223.06	$223.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.29 / $952.77 / $6,422.07	Professional		$369.29	$952.77	$6,422.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $218.41 / $836.06 / $5,800.59	Professional	TC	$218.41	$836.06	$5,800.59
United Facility/Professional Professional Modifier Low / Median / High Price $347.88 / $866.15 / $1,492.14	Professional		$347.88	$866.15	$1,492.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.75 / $778.50 / $1,409.56	Professional	TC	$205.75	$778.50	$1,409.56