Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.99 / $102.99 / $164.27	Facility	26	$102.99	$102.99	$164.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.91 / $944.35 / $1,371.59	Professional		$740.91	$944.35	$1,371.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.84 / $98.61 / $148.09	Professional	26	$83.84	$98.61	$148.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $657.06 / $849.32 / $1,223.50	Professional	TC	$657.06	$849.32	$1,223.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,546.01 / $1,858.86 / $2,044.84	Professional		$1,546.01	$1,858.86	$2,044.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $184.00 / $221.24 / $242.57	Professional	26	$184.00	$221.24	$242.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,362.01 / $1,637.62 / $1,808.73	Professional	TC	$1,362.01	$1,637.62	$1,808.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.49 / $1,549.78 / $2,167.17	Professional		$1,227.49	$1,549.78	$2,167.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.43 / $178.89 / $250.16	Professional	26	$127.43	$178.89	$250.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,094.61 / $1,370.88 / $1,917.01	Professional	TC	$1,094.61	$1,370.88	$1,917.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,042.15 / $1,800.08 / $5,628.92	Professional		$1,042.15	$1,800.08	$5,628.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.87 / $194.96 / $611.21	Professional	26	$112.87	$194.96	$611.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $929.28 / $1,605.12 / $5,017.71	Professional	TC	$929.28	$1,605.12	$5,017.71
United Facility/Professional Professional Modifier Low / Median / High Price $985.04 / $1,618.92 / $2,118.73	Professional		$985.04	$1,618.92	$2,118.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.87 / $188.28 / $256.77	Professional	26	$112.87	$188.28	$256.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $871.59 / $1,570.54 / $2,010.37	Professional	TC	$871.59	$1,570.54	$2,010.37