Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $272.24 / $5,591.48	Facility		$152.66	$272.24	$5,591.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $114.91 / $279.45	Professional		$90.93	$114.91	$279.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.14 / $41.54 / $105.30	Professional	26	$32.14	$41.54	$105.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.09 / $76.18 / $188.68	Professional	TC	$56.09	$76.18	$188.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $268.60 / $285.81	Professional		$255.08	$268.60	$285.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $85.31 / $85.66	Professional	26	$76.45	$85.31	$85.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.63 / $183.29 / $200.16	Professional	TC	$178.63	$183.29	$200.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $149.04 / $186.30	Professional		$149.04	$149.04	$186.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.02 / $44.02 / $55.02	Professional	26	$44.02	$44.02	$55.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.03 / $105.03 / $131.28	Professional	TC	$105.03	$105.03	$131.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $77.68 / $115.15	Facility		$61.14	$77.68	$115.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $246.60 / $661.34	Professional		$117.00	$246.60	$661.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $84.59 / $92.58	Professional	26	$68.84	$84.59	$92.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $123.20 / $155.47 / $424.71	Professional	TC	$123.20	$155.47	$424.71
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $204.80 / $318.33	Professional		$64.31	$204.80	$318.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $37.54 / $80.39	Professional	26	$22.09	$37.54	$80.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.78 / $146.38 / $224.34	Professional	TC	$71.78	$146.38	$224.34