Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.51 / $72.51 / $114.46	Facility	26	$72.51	$72.51	$114.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.49 / $472.35 / $725.20	Professional		$463.49	$472.35	$725.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $68.69 / $103.07	Professional	26	$64.28	$68.69	$103.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $399.20 / $403.66 / $622.12	Professional	TC	$399.20	$403.66	$622.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.29 / $986.29 / $1,084.97	Professional		$820.29	$986.29	$1,084.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.03 / $153.94 / $168.78	Professional	26	$128.03	$153.94	$168.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $692.26 / $832.35 / $917.63	Professional	TC	$692.26	$832.35	$917.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.91 / $822.15 / $1,149.68	Professional		$651.91	$822.15	$1,149.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.64 / $124.97 / $174.76	Professional	26	$88.64	$124.97	$174.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $557.74 / $697.18 / $974.92	Professional	TC	$557.74	$697.18	$974.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $553.49 / $956.02 / $2,964.79	Professional		$553.49	$956.02	$2,964.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.47 / $137.26 / $426.62	Professional	26	$79.47	$137.26	$426.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $474.02 / $818.76 / $2,538.10	Professional	TC	$474.02	$818.76	$2,538.10
United Facility/Professional Professional Modifier Low / Median / High Price $553.49 / $905.71 / $1,224.08	Professional		$553.49	$905.71	$1,224.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $132.35 / $180.81	Professional	26	$79.09	$132.35	$180.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $442.19 / $775.67 / $1,093.72	Professional	TC	$442.19	$775.67	$1,093.72