Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $323.59	Facility		$93.33	$95.50	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $204.17	Professional		$64.57	$81.28	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $57.54 / $218.78	Professional	26	$44.67	$57.54	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $87.10	Professional	TC	$21.88	$32.36	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $263.03	Professional		$229.09	$257.04	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $154.88 / $154.88	Professional	26	$134.90	$154.88	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $104.71 / $104.71	Professional	TC	$93.33	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $97.72	Professional	26	$77.62	$77.62	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $53.70 / $67.61	Professional	TC	$53.70	$53.70	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $109.65	Facility		$60.26	$70.79	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $645.65	Professional		$194.98	$218.78	$645.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $154.88 / $380.19	Professional	26	$123.03	$154.88	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $109.65 / $346.74	Professional	TC	$64.57	$109.65	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $269.15	Professional		$100.00	$208.93	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $123.03 / $158.49	Professional	26	$64.57	$123.03	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $72.44 / $109.65	Professional	TC	$34.67	$72.44	$109.65