Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $348.84 / $613.71	Professional		$140.15	$348.84	$613.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.56 / $93.81 / $127.21	Professional	26	$92.56	$93.81	$127.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.19 / $79.23 / $109.58	Professional	TC	$78.19	$79.23	$109.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $226.80 / $311.43	Professional		$126.70	$226.80	$311.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $152.69 / $404.02	Professional		$106.89	$152.69	$404.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.45 / $77.27 / $245.02	Professional	26	$61.45	$77.27	$245.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.15 / $75.44 / $199.80	Professional	TC	$47.15	$75.44	$199.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $318.06 / $1,548.81	Professional		$144.22	$318.06	$1,548.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.34 / $209.31 / $832.85	Professional	26	$80.34	$209.31	$832.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $159.69 / $785.37	Professional	TC	$63.88	$159.69	$785.37
United Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $240.36 / $365.58	Professional		$137.09	$240.36	$365.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.48 / $133.88 / $209.31	Professional	26	$78.48	$133.88	$209.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.60 / $106.47 / $159.69	Professional	TC	$58.60	$106.47	$159.69