Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.99 / $430.30 / $792.00	Facility		$164.99	$430.30	$792.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $87.05 / $233.18	Professional		$68.90	$87.05	$233.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $11.64 / $43.20	Professional	26	$9.76	$11.64	$43.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.13 / $69.91 / $172.94	Professional	TC	$59.13	$69.91	$172.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $208.64 / $210.32	Professional		$186.20	$208.64	$210.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.49 / $29.56 / $29.69	Professional	26	$26.49	$29.56	$29.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.71 / $178.95 / $180.76	Professional	TC	$159.71	$178.95	$180.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $108.51 / $135.63	Professional		$108.51	$108.51	$135.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $14.82 / $18.52	Professional	26	$14.82	$14.82	$18.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.70 / $93.70 / $117.12	Professional	TC	$93.70	$93.70	$117.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $53.80 / $90.12	Facility		$48.37	$53.80	$90.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $169.90 / $514.55	Professional		$44.00	$169.90	$514.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.80 / $29.06 / $87.52	Professional	26	$24.80	$29.06	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.52 / $142.66 / $439.92	Professional	TC	$77.52	$142.66	$439.92
United Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $160.63 / $232.64	Professional		$78.77	$160.63	$232.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.88 / $27.24	Professional	26	$7.58	$12.88	$27.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.89 / $134.37 / $142.66	Professional	TC	$65.89	$134.37	$142.66