Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.62 / $104.62 / $178.52	Facility	26	$104.62	$104.62	$178.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $340.80 / $589.29	Professional		$293.74	$340.80	$589.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $104.62 / $163.50	Professional	26	$89.57	$104.62	$163.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $236.18 / $413.28	Professional	TC	$204.15	$236.18	$413.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.89 / $733.16 / $866.23	Professional		$674.89	$733.16	$866.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $199.44 / $213.99 / $252.82	Professional	26	$199.44	$213.99	$252.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $475.45 / $519.17 / $613.41	Professional	TC	$475.45	$519.17	$613.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.46 / $557.32 / $927.26	Professional		$362.46	$557.32	$927.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.97 / $177.71 / $268.92	Professional	26	$111.97	$177.71	$268.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.49 / $382.66 / $658.34	Professional	TC	$250.49	$382.66	$658.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.21 / $629.46 / $2,193.48	Professional		$343.21	$629.46	$2,193.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $192.92 / $640.52	Professional	26	$106.10	$192.92	$640.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $237.11 / $436.54 / $1,552.95	Professional	TC	$237.11	$436.54	$1,552.95
United Facility/Professional Professional Modifier Low / Median / High Price $343.21 / $595.05 / $857.15	Professional		$343.21	$595.05	$857.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $190.29 / $261.18	Professional	26	$106.10	$190.29	$261.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.11 / $401.94 / $595.97	Professional	TC	$237.11	$401.94	$595.97