Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.84 / $52.84 / $85.05	Facility	26	$52.84	$52.84	$85.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $375.42 / $577.42	Professional		$318.73	$375.42	$577.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $50.95 / $76.72	Professional	26	$45.85	$50.95	$76.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $324.47 / $500.71	Professional	TC	$272.87	$324.47	$500.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.38 / $784.39 / $862.87	Professional		$652.38	$784.39	$862.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.22 / $114.48 / $125.52	Professional	26	$95.22	$114.48	$125.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $557.16 / $669.90 / $741.07	Professional	TC	$557.16	$669.90	$741.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.09 / $596.50 / $803.40	Professional		$439.09	$596.50	$803.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.46 / $92.62 / $121.56	Professional	26	$62.46	$92.62	$121.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $355.10 / $501.01 / $685.72	Professional	TC	$355.10	$501.01	$685.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.77 / $714.12 / $2,348.14	Professional		$392.77	$714.12	$2,348.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.31 / $99.37 / $379.76	Professional	26	$55.31	$99.37	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $335.24 / $606.00 / $2,034.68	Professional	TC	$335.24	$606.00	$2,034.68
United Facility/Professional Professional Modifier Low / Median / High Price $392.77 / $679.08 / $990.31	Professional		$392.77	$679.08	$990.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.53 / $97.37 / $131.69	Professional	26	$57.53	$97.37	$131.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $335.24 / $572.26 / $831.31	Professional	TC	$335.24	$572.26	$831.31