Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.73 / $128.43 / $135.54	Facility	26	$79.73	$128.43	$135.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $482.08 / $717.38	Professional		$433.43	$482.08	$717.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $73.29 / $226.80	Professional	26	$67.62	$73.29	$226.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.81 / $402.36 / $601.36	Professional	TC	$365.81	$402.36	$601.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.21 / $977.78 / $1,076.78	Professional		$813.21	$977.78	$1,076.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $143.47 / $172.50 / $189.13	Professional	26	$143.47	$172.50	$189.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $669.74 / $805.27 / $891.93	Professional	TC	$669.74	$805.27	$891.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $813.90 / $1,187.85	Professional		$582.85	$813.90	$1,187.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.36 / $140.19 / $194.08	Professional	26	$94.36	$140.19	$194.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $488.48 / $673.71 / $993.78	Professional	TC	$488.48	$673.71	$993.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.86 / $935.94 / $2,898.56	Professional		$541.86	$935.94	$2,898.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.36 / $150.90 / $479.37	Professional	26	$87.36	$150.90	$479.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $454.50 / $785.04 / $2,419.25	Professional	TC	$454.50	$785.04	$2,419.25
United Facility/Professional Professional Modifier Low / Median / High Price $518.88 / $886.68 / $1,214.28	Professional		$518.88	$886.68	$1,214.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.36 / $145.10 / $281.54	Professional	26	$87.36	$145.10	$281.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $429.80 / $743.74 / $1,015.37	Professional	TC	$429.80	$743.74	$1,015.37