Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $202.91 / $1,625.25	Professional		$150.96	$202.91	$1,625.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.08 / $99.53 / $893.06	Professional	26	$76.08	$99.53	$893.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.88 / $103.38 / $732.18	Professional	TC	$74.88	$103.38	$732.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $165.06 / $185.69	Professional		$103.16	$165.06	$185.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.06 / $86.49 / $97.30	Professional	26	$54.06	$86.49	$97.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.11 / $78.56 / $88.39	Professional	TC	$49.11	$78.56	$88.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $224.34 / $323.60	Professional		$114.50	$224.34	$323.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.61 / $126.30 / $192.81	Professional	26	$58.61	$126.30	$192.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.50 / $80.01 / $159.15	Professional	TC	$53.50	$80.01	$159.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $579.90 / $579.90 / $579.90	Facility	26	$579.90	$579.90	$579.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $240.36 / $1,548.81	Professional		$141.11	$240.36	$1,548.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.11 / $133.88 / $832.85	Professional	26	$74.11	$133.88	$832.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $106.47 / $785.37	Professional	TC	$63.88	$106.47	$785.37
United Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $173.28 / $323.89	Professional		$141.01	$173.28	$323.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $83.41 / $166.95	Professional	26	$73.00	$83.41	$166.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $87.83 / $141.12	Professional	TC	$63.88	$87.83	$141.12