Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $393.75 / $518.52	Professional		$257.38	$393.75	$518.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.28 / $42.60 / $51.50	Professional	26	$30.28	$42.60	$51.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.10 / $351.12 / $467.01	Professional	TC	$227.10	$351.12	$467.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.49 / $272.77 / $306.87	Professional		$170.49	$272.77	$306.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $34.47 / $38.79	Professional	26	$21.55	$34.47	$38.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.94 / $238.30 / $268.08	Professional	TC	$148.94	$238.30	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.66 / $399.93 / $531.65	Professional		$207.66	$399.93	$531.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.49 / $45.73 / $64.66	Professional	26	$22.49	$45.73	$64.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.60 / $333.20 / $507.88	Professional	TC	$170.60	$333.20	$507.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.45 / $213.45 / $213.45	Facility	26	$213.45	$213.45	$213.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.40 / $414.37 / $2,779.34	Professional		$245.40	$414.37	$2,779.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.46 / $48.50 / $306.82	Professional	26	$28.46	$48.50	$306.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $217.30 / $367.55 / $2,481.83	Professional	TC	$217.30	$367.55	$2,481.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.40 / $335.13 / $561.60	Professional		$245.40	$335.13	$561.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $31.15 / $64.51	Professional	26	$27.96	$31.15	$64.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.30 / $256.77 / $488.53	Professional	TC	$217.30	$256.77	$488.53