Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.68 / $50.68 / $80.95	Facility	26	$50.68	$50.68	$80.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $340.97 / $529.04	Professional		$267.32	$340.97	$529.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $48.51 / $73.18	Professional	26	$43.47	$48.51	$73.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $292.45 / $455.86	Professional	TC	$223.84	$292.45	$455.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.33 / $719.41 / $791.38	Professional		$598.33	$719.41	$791.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $109.07 / $119.58	Professional	26	$90.71	$109.07	$119.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $507.61 / $610.33 / $671.40	Professional	TC	$507.61	$610.33	$671.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.54 / $539.77 / $783.23	Professional		$336.54	$539.77	$783.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.59 / $88.18 / $112.92	Professional	26	$59.59	$88.18	$112.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.20 / $441.13 / $666.92	Professional	TC	$259.20	$441.13	$666.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.65 / $687.29 / $2,116.12	Professional		$357.65	$687.29	$2,116.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.61 / $95.97 / $350.03	Professional	26	$51.61	$95.97	$350.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $306.04 / $584.39 / $1,817.68	Professional	TC	$306.04	$584.39	$1,817.68
United Facility/Professional Professional Modifier Low / Median / High Price $379.48 / $679.24 / $810.86	Professional		$379.48	$679.24	$810.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.56 / $92.92 / $126.30	Professional	26	$55.56	$92.92	$126.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.14 / $564.05 / $770.09	Professional	TC	$323.14	$564.05	$770.09