Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.75 / $219.96 / $823.43	Facility		$213.75	$219.96	$823.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $118.27 / $333.75	Professional		$94.20	$118.27	$333.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $28.65 / $192.24	Professional	26	$22.30	$28.65	$192.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.90 / $91.70 / $237.63	Professional	TC	$71.90	$91.70	$237.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $284.12 / $285.49	Professional		$253.56	$284.12	$285.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.28 / $65.03 / $65.30	Professional	26	$58.28	$65.03	$65.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.28 / $218.82 / $220.46	Professional	TC	$195.28	$218.82	$220.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $148.16 / $185.22	Professional		$148.16	$148.16	$185.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.56 / $33.56 / $41.95	Professional	26	$33.56	$33.56	$41.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.62 / $114.62 / $143.27	Professional	TC	$114.62	$114.62	$143.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.11 / $74.77 / $123.81	Facility		$67.11	$74.77	$123.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $261.89 / $715.47	Professional		$198.90	$261.89	$715.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.06 / $64.37 / $162.69	Professional	26	$55.06	$64.37	$162.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.28 / $175.46 / $552.78	Professional	TC	$95.28	$175.46	$552.78
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $203.37 / $316.13	Professional		$64.31	$203.37	$316.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.35 / $57.81 / $60.56	Professional	26	$28.35	$57.81	$60.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.98 / $165.15 / $230.26	Professional	TC	$80.98	$165.15	$230.26