Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.88 / $466.05 / $1,037.32	Professional		$354.88	$466.05	$1,037.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.56 / $82.51	Professional	26	$36.31	$47.56	$82.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $318.57 / $418.50 / $949.29	Professional	TC	$318.57	$418.50	$949.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.76 / $375.62 / $422.57	Professional		$234.76	$375.62	$422.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.84 / $41.34 / $46.50	Professional	26	$25.84	$41.34	$46.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $334.28 / $376.07	Professional	TC	$208.93	$334.28	$376.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $320.55 / $634.05	Professional		$274.88	$320.55	$634.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.90 / $32.06 / $65.95	Professional	26	$28.90	$32.06	$65.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.82 / $289.43 / $573.79	Professional	TC	$242.82	$289.43	$573.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $255.86 / $255.86 / $255.86	Facility	26	$255.86	$255.86	$255.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.12 / $508.96 / $3,946.60	Professional		$297.12	$508.96	$3,946.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.32 / $55.45 / $363.38	Professional	26	$33.32	$55.45	$363.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $263.05 / $450.60 / $3,586.83	Professional	TC	$263.05	$450.60	$3,586.83
United Facility/Professional Professional Modifier Low / Median / High Price $290.62 / $371.20 / $658.07	Professional		$290.62	$371.20	$658.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.32 / $36.15 / $77.66	Professional	26	$33.32	$36.15	$77.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.30 / $327.96 / $582.60	Professional	TC	$257.30	$327.96	$582.60