Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $661.30 / $788.40	Facility		$534.66	$661.30	$788.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $264.87 / $627.22	Professional		$198.93	$264.87	$627.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.76 / $87.01 / $296.37	Professional	26	$67.76	$87.01	$296.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.18 / $177.84 / $581.16	Professional	TC	$131.18	$177.84	$581.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.92 / $729.38 / $729.78	Professional		$650.92	$729.38	$729.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.39 / $200.18 / $201.00	Professional	26	$179.39	$200.18	$201.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $471.55 / $528.38 / $529.59	Professional	TC	$471.55	$528.38	$529.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.02 / $380.02 / $475.02	Professional		$380.02	$380.02	$475.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.28 / $103.28 / $129.11	Professional	26	$103.28	$103.28	$129.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $276.73 / $276.73 / $345.92	Professional	TC	$276.73	$276.73	$345.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.77 / $196.27 / $316.50	Facility		$169.77	$196.27	$316.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.80 / $668.70 / $1,813.36	Professional		$337.80	$668.70	$1,813.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $161.38 / $199.18 / $509.36	Professional	26	$161.38	$199.18	$509.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $233.86 / $430.36 / $1,303.99	Professional	TC	$233.86	$430.36	$1,303.99
United Facility/Professional Professional Modifier Low / Median / High Price $287.13 / $585.52 / $619.27	Professional		$287.13	$585.52	$619.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.62 / $88.35 / $188.91	Professional	26	$86.62	$88.35	$188.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.78 / $380.40 / $430.36	Professional	TC	$198.78	$380.40	$430.36