Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.62 / $77.59 / $402.80	Facility	26	$74.62	$77.59	$402.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $428.51 / $525.04	Professional		$171.00	$428.51	$525.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $76.51 / $98.61	Professional	26	$51.30	$76.51	$98.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $351.99 / $426.43	Professional	TC	$119.70	$351.99	$426.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $408.45 / $560.86	Professional		$77.41	$408.45	$560.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.03 / $370.37 / $496.36	Professional		$328.03	$370.37	$496.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.81 / $73.41 / $115.70	Professional	26	$64.81	$73.41	$115.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.72 / $296.95 / $397.53	Professional	TC	$262.72	$296.95	$397.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.90 / $328.49 / $328.49	Facility	26	$173.90	$328.49	$328.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $414.45 / $903.96	Professional		$338.66	$414.45	$903.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.43 / $78.68 / $179.00	Professional	26	$63.43	$78.68	$179.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $264.58 / $325.07 / $826.44	Professional	TC	$264.58	$325.07	$826.44
United Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $400.64 / $690.75	Professional		$338.66	$400.64	$690.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $75.67 / $118.02	Professional	26	$62.94	$75.67	$118.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.58 / $324.55 / $694.56	Professional	TC	$264.58	$324.55	$694.56