Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.16 / $323.67 / $717.38	Facility		$223.16	$323.67	$717.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $148.18 / $509.08	Professional		$109.49	$148.18	$509.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.07 / $64.61 / $245.70	Professional	26	$58.07	$64.61	$245.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.10 / $71.73 / $167.31	Professional	TC	$58.10	$71.73	$167.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $424.02 / $435.93	Professional		$389.05	$424.02	$435.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $152.88 / $170.62 / $171.32	Professional	26	$152.88	$170.62	$171.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $236.15 / $253.40 / $264.62	Professional	TC	$236.15	$253.40	$264.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.35 / $214.35 / $267.93	Professional		$214.35	$214.35	$267.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.84 / $83.84 / $104.80	Professional	26	$83.84	$83.84	$104.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.51 / $130.51 / $163.13	Professional	TC	$130.51	$130.51	$163.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.21 / $110.58 / $167.81	Facility		$92.21	$110.58	$167.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $327.29 / $1,961.76	Professional		$175.85	$327.29	$1,961.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $147.60 / $170.03 / $434.05	Professional	26	$147.60	$170.03	$434.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $100.04 / $183.72 / $557.54	Professional	TC	$100.04	$183.72	$557.54
United Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $327.29 / $344.82	Professional		$160.50	$327.29	$344.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $153.88 / $161.10	Professional	26	$75.45	$153.88	$161.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.37 / $85.04 / $183.72	Professional	TC	$83.37	$85.04	$183.72