Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.31 / $704.31 / $928.48	Facility		$704.31	$704.31	$928.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $79.20 / $94.32	Professional		$43.95	$79.20	$94.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $23.19 / $78.31	Professional	26	$20.61	$23.19	$78.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $54.87 / $130.83	Professional	TC	$27.66	$54.87	$130.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $174.00 / $178.11	Professional		$158.94	$174.00	$178.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.20 / $54.91 / $55.12	Professional	26	$49.20	$54.91	$55.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.75 / $119.09 / $122.98	Professional	TC	$109.75	$119.09	$122.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $87.97 / $109.96	Professional		$87.97	$87.97	$109.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $26.85 / $33.56	Professional	26	$26.85	$26.85	$33.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.12 / $61.12 / $76.41	Professional	TC	$61.12	$61.12	$76.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $44.56 / $69.11	Facility		$40.04	$44.56	$69.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $134.74 / $407.64	Professional		$75.79	$134.74	$407.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.04 / $56.38 / $244.00	Professional	26	$47.04	$56.38	$244.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $87.47 / $268.50	Professional	TC	$47.64	$87.47	$268.50
United Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $131.37 / $197.85	Professional		$64.42	$131.37	$197.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.93 / $48.80 / $51.05	Professional	26	$23.93	$48.80	$51.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.70 / $40.49 / $87.47	Professional	TC	$39.70	$40.49	$87.47