Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.12 / $522.88 / $871.47	Facility		$175.12	$522.88	$871.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $82.86 / $232.20	Professional		$59.78	$82.86	$232.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $26.80 / $149.52	Professional	26	$19.98	$26.80	$149.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.00 / $56.80 / $162.90	Professional	TC	$41.00	$56.80	$162.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $229.75 / $245.11	Professional		$218.74	$229.75	$245.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.07 / $68.41 / $69.55	Professional	26	$62.07	$68.41	$69.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.68 / $161.33 / $175.56	Professional	TC	$156.68	$161.33	$175.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $160.16	Professional		$128.13	$128.13	$160.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.74 / $35.74 / $44.67	Professional	26	$35.74	$35.74	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.39 / $92.39 / $115.49	Professional	TC	$92.39	$92.39	$115.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $65.70 / $102.31	Facility		$52.41	$65.70	$102.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $184.14 / $559.76	Professional		$68.05	$184.14	$559.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.27 / $67.89 / $128.80	Professional	26	$54.27	$67.89	$128.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.52 / $134.37 / $386.24	Professional	TC	$77.52	$134.37	$386.24
United Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $175.99 / $207.72	Professional		$96.07	$175.99	$207.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.16 / $30.18 / $64.54	Professional	26	$13.16	$30.18	$64.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.89 / $134.37 / $143.18	Professional	TC	$65.89	$134.37	$143.18