Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.69 / $216.97 / $271.20	Facility	26	$89.69	$216.97	$271.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $379.91 / $1,957.00	Professional		$308.87	$379.91	$1,957.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $70.53 / $349.00	Professional	26	$57.15	$70.53	$349.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.43 / $308.83 / $1,610.09	Professional	TC	$250.43	$308.83	$1,610.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $353.54 / $1,712.48	Professional		$265.16	$353.54	$1,712.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.42 / $63.22 / $306.24	Professional	26	$47.42	$63.22	$306.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.74 / $290.32 / $1,406.24	Professional	TC	$217.74	$290.32	$1,406.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $435.41 / $688.66	Professional		$263.35	$435.41	$688.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.77 / $85.11 / $134.22	Professional	26	$53.77	$85.11	$134.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.58 / $345.76 / $552.46	Professional	TC	$209.58	$345.76	$552.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $151.49 / $286.08 / $286.08	Facility	26	$151.49	$286.08	$286.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.41 / $370.74 / $2,079.76	Professional		$295.41	$370.74	$2,079.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.55 / $83.75 / $405.29	Professional	26	$55.55	$83.75	$405.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $237.12 / $286.99 / $1,674.47	Professional	TC	$237.12	$286.99	$1,674.47
United Facility/Professional Professional Modifier Low / Median / High Price $295.41 / $370.74 / $638.40	Professional		$295.41	$370.74	$638.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.55 / $83.75 / $147.12	Professional	26	$55.55	$83.75	$147.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.12 / $286.99 / $511.57	Professional	TC	$237.12	$286.99	$511.57