Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.94 / $253.94 / $543.82	Facility		$253.94	$253.94	$543.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $121.56 / $337.96	Professional		$107.82	$121.56	$337.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $48.07 / $159.30	Professional	26	$30.69	$48.07	$159.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.23 / $74.76 / $137.69	Professional	TC	$58.23	$74.76	$137.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $302.77 / $304.92	Professional		$270.20	$302.77	$304.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.83 / $101.36 / $101.78	Professional	26	$90.83	$101.36	$101.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.39 / $201.00 / $203.56	Professional	TC	$179.39	$201.00	$203.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.76 / $157.76 / $197.20	Professional		$157.76	$157.76	$197.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.30 / $52.30 / $65.37	Professional	26	$52.30	$52.30	$65.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.46 / $105.46 / $131.83	Professional	TC	$105.46	$105.46	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $91.36 / $135.52	Facility		$73.63	$91.36	$135.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $280.50 / $764.45	Professional		$152.88	$280.50	$764.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.15 / $100.72 / $310.87	Professional	26	$81.15	$100.72	$310.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $100.04 / $173.41 / $507.20	Professional	TC	$100.04	$173.41	$507.20
United Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $280.50 / $337.06	Professional		$129.94	$280.50	$337.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.91 / $91.58 / $96.26	Professional	26	$44.91	$91.58	$96.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.04 / $173.41 / $184.24	Professional	TC	$85.04	$173.41	$184.24