Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $222.25 / $222.25	Professional		$166.95	$222.25	$222.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.07 / $114.39 / $114.39	Professional	26	$93.07	$114.39	$114.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.87 / $107.86 / $107.86	Professional	TC	$73.87	$107.86	$107.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.89 / $596.33 / $600.47	Professional		$535.89	$596.33	$600.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $267.19 / $299.39 / $299.85	Professional	26	$267.19	$299.39	$299.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.70 / $296.47 / $301.08	Professional	TC	$268.70	$296.47	$301.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $311.60 / $389.50	Professional		$311.60	$311.60	$389.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.27 / $154.27 / $192.84	Professional	26	$154.27	$154.27	$192.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $157.32 / $157.32 / $196.65	Professional	TC	$157.32	$157.32	$196.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.43 / $524.86 / $1,548.81	Professional		$288.43	$524.86	$1,548.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $160.66 / $291.49 / $832.85	Professional	26	$160.66	$291.49	$832.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $127.76 / $233.37 / $785.37	Professional	TC	$127.76	$233.37	$785.37
United Facility/Professional Professional Modifier Low / Median / High Price $245.17 / $492.90 / $524.86	Professional		$245.17	$492.90	$524.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $136.57 / $278.49 / $291.49	Professional	26	$136.57	$278.49	$291.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.60 / $221.46 / $233.37	Professional	TC	$108.60	$221.46	$233.37