Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.26 / $576.37 / $613.50	Professional		$405.26	$576.37	$613.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.93 / $53.69 / $57.11	Professional	26	$41.93	$53.69	$57.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.00 / $522.67 / $556.38	Professional	TC	$361.00	$522.67	$556.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.32 / $1,422.30 / $1,468.85	Professional		$1,269.32	$1,422.30	$1,468.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.92 / $141.91 / $143.33	Professional	26	$127.92	$141.91	$143.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,141.41 / $1,278.96 / $1,326.95	Professional	TC	$1,141.41	$1,278.96	$1,326.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.47 / $707.47 / $884.34	Professional		$707.47	$707.47	$884.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.80 / $69.80 / $87.25	Professional	26	$69.80	$69.80	$87.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $637.66 / $637.66 / $797.09	Professional	TC	$637.66	$637.66	$797.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.21 / $1,280.32 / $3,946.60	Professional		$707.21	$1,280.32	$3,946.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.33 / $125.36 / $363.38	Professional	26	$72.33	$125.36	$363.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $634.88 / $1,160.00 / $3,586.83	Professional	TC	$634.88	$1,160.00	$3,586.83
United Facility/Professional Professional Modifier Low / Median / High Price $601.13 / $1,225.83 / $1,302.94	Professional		$601.13	$1,225.83	$1,302.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $100.99 / $156.99	Professional	26	$36.15	$100.99	$156.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.44 / $539.65 / $1,171.54	Professional	TC	$317.44	$539.65	$1,171.54