Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.34 / $100.34 / $164.23	Facility	26	$100.34	$100.34	$164.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.46 / $968.07 / $1,014.15	Professional		$859.46	$968.07	$1,014.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $759.12 / $869.69 / $917.60	Professional	TC	$759.12	$869.69	$917.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,814.29 / $1,989.01 / $2,350.02	Professional		$1,814.29	$1,989.01	$2,350.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,622.57 / $1,779.23 / $2,102.17	Professional	TC	$1,622.57	$1,779.23	$2,102.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.09 / $1,450.44 / $2,495.39	Professional		$650.09	$1,450.44	$2,495.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $576.90 / $1,309.85 / $2,253.54	Professional	TC	$576.90	$1,309.85	$2,253.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $865.62 / $1,495.17 / $6,422.07	Professional		$865.62	$1,495.17	$6,422.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $757.25 / $1,376.82 / $5,800.59	Professional	TC	$757.25	$1,376.82	$5,800.59
United Facility/Professional Professional Modifier Low / Median / High Price $865.62 / $1,461.08 / $2,066.69	Professional		$865.62	$1,461.08	$2,066.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $757.25 / $1,307.98 / $1,710.54	Professional	TC	$757.25	$1,307.98	$1,710.54