Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $269.15 / $5,623.41	Facility		$151.36	$269.15	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $263.03 / $346.74	Professional		$74.13	$263.03	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $44.67 / $288.40	Professional	26	$25.12	$44.67	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $77.62 / $204.17	Professional	TC	$50.12	$77.62	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $288.40	Professional		$257.04	$288.40	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $87.10 / $87.10	Professional	26	$75.86	$87.10	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $199.53 / $204.17	Professional	TC	$177.83	$199.53	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $186.21	Professional		$147.91	$147.91	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $54.95	Professional	26	$43.65	$43.65	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $104.71 / $131.83	Professional	TC	$104.71	$104.71	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $114.82	Facility		$61.66	$77.62	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $660.69	Professional		$117.49	$245.47	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $91.20	Professional	26	$69.18	$85.11	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $162.18 / $426.58	Professional	TC	$131.83	$162.18	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $302.00	Professional		$107.15	$223.87	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $69.18 / $89.13	Professional	26	$37.15	$69.18	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $147.91 / $208.93	Professional	TC	$70.79	$147.91	$208.93