Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.40 / $360.40 / $360.40	Facility		$360.40	$360.40	$360.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $123.81 / $161.71	Professional		$103.56	$123.81	$161.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.59 / $36.77 / $125.49	Professional	26	$34.59	$36.77	$125.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $94.61 / $210.66	Professional	TC	$68.95	$94.61	$210.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.32 / $438.38 / $438.48	Professional		$391.32	$438.38	$438.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.77 / $93.76 / $94.99	Professional	26	$84.77	$93.76	$94.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $306.54 / $343.49 / $344.62	Professional	TC	$306.54	$343.49	$344.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.23 / $229.23 / $286.54	Professional		$229.23	$229.23	$286.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.81 / $48.81 / $61.01	Professional	26	$48.81	$48.81	$61.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.42 / $180.42 / $225.53	Professional	TC	$180.42	$180.42	$225.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $122.52 / $195.86	Facility		$99.11	$122.52	$195.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $348.58 / $1,081.50	Professional		$149.00	$348.58	$1,081.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.72 / $91.91 / $235.79	Professional	26	$75.72	$91.91	$235.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.41 / $281.51 / $845.71	Professional	TC	$162.41	$281.51	$845.71
United Facility/Professional Professional Modifier Low / Median / High Price $178.91 / $364.83 / $489.80	Professional		$178.91	$364.83	$489.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.86 / $87.53 / $87.53	Professional	26	$40.86	$87.53	$87.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.05 / $281.51 / $299.42	Professional	TC	$138.05	$281.51	$299.42