Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.11 / $257.92 / $500.04	Professional		$222.11	$257.92	$500.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $40.27 / $49.06	Professional	26	$31.43	$40.27	$49.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.68 / $218.92 / $256.37	Professional	TC	$190.68	$218.92	$256.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.17 / $365.13 / $365.13	Professional		$269.17	$365.13	$365.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.76 / $337.98 / $586.08	Professional		$156.76	$337.98	$586.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $56.10 / $83.00	Professional	26	$22.39	$56.10	$83.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.37 / $294.55 / $503.08	Professional	TC	$134.37	$294.55	$503.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $348.26 / $2,077.04	Professional		$196.97	$348.26	$2,077.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $54.54 / $267.88	Professional	26	$27.72	$54.54	$267.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $152.09 / $302.07 / $1,809.15	Professional	TC	$152.09	$302.07	$1,809.15
United Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $335.38 / $456.49	Professional		$196.97	$335.38	$456.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $46.19 / $64.67	Professional	26	$27.72	$46.19	$64.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.09 / $289.69 / $392.69	Professional	TC	$152.09	$289.69	$392.69