Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.16 / $53.98 / $309.18	Facility	26	$45.16	$53.98	$309.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $295.42 / $334.04	Professional		$223.42	$295.42	$334.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.36 / $53.09 / $56.18	Professional	26	$37.36	$53.09	$56.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.06 / $241.59 / $277.86	Professional	TC	$186.06	$241.59	$277.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $324.10 / $445.04	Professional		$55.65	$324.10	$445.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.61 / $320.14 / $488.60	Professional		$275.61	$320.14	$488.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.29 / $55.08 / $83.70	Professional	26	$49.29	$55.08	$83.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.91 / $261.23 / $404.90	Professional	TC	$229.91	$261.23	$404.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.71 / $249.77 / $249.77	Facility	26	$131.71	$249.77	$249.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.47 / $365.23 / $716.94	Professional		$295.47	$365.23	$716.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.93 / $59.28 / $136.91	Professional	26	$47.93	$59.28	$136.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $244.25 / $305.32 / $669.76	Professional	TC	$244.25	$305.32	$669.76
United Facility/Professional Professional Modifier Low / Median / High Price $292.18 / $342.39 / $547.85	Professional		$292.18	$342.39	$547.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.93 / $58.08 / $89.87	Professional	26	$47.93	$58.08	$89.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.25 / $288.92 / $555.37	Professional	TC	$244.25	$288.92	$555.37