Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.64 / $67.64 / $108.92	Facility	26	$67.64	$67.64	$108.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $333.26 / $345.68	Professional		$308.87	$333.26	$345.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $65.34 / $67.64	Professional	26	$57.15	$65.34	$67.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.71 / $267.92 / $284.95	Professional	TC	$251.71	$267.92	$284.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.61 / $710.13 / $781.17	Professional		$590.61	$710.13	$781.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.59 / $146.19 / $160.30	Professional	26	$121.59	$146.19	$160.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $469.01 / $563.92 / $621.71	Professional	TC	$469.01	$563.92	$621.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.15 / $590.60 / $854.56	Professional		$422.15	$590.60	$854.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.95 / $118.63 / $164.60	Professional	26	$79.95	$118.63	$164.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.19 / $471.98 / $693.14	Professional	TC	$342.19	$471.98	$693.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.83 / $673.34 / $2,079.76	Professional		$389.83	$673.34	$2,079.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.33 / $128.38 / $405.29	Professional	26	$74.33	$128.38	$405.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $315.50 / $544.96 / $1,674.47	Professional	TC	$315.50	$544.96	$1,674.47
United Facility/Professional Professional Modifier Low / Median / High Price $375.08 / $637.90 / $870.48	Professional		$375.08	$637.90	$870.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.33 / $126.88 / $168.75	Professional	26	$74.33	$126.88	$168.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.97 / $513.98 / $701.73	Professional	TC	$278.97	$513.98	$701.73