Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $265.20 / $381.83	Professional		$189.62	$265.20	$381.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.98 / $58.98 / $171.77	Professional	26	$46.98	$58.98	$171.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.25 / $240.75 / $927.38	Professional	TC	$133.25	$240.75	$927.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.27 / $986.37 / $1,001.76	Professional		$880.27	$986.37	$1,001.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.54 / $156.26 / $158.60	Professional	26	$141.54	$156.26	$158.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $738.73 / $827.77 / $845.50	Professional	TC	$738.73	$827.77	$845.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $516.41 / $645.53	Professional		$516.41	$516.41	$645.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $81.48 / $101.87	Professional	26	$81.48	$81.48	$101.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $434.93 / $434.93 / $543.66	Professional	TC	$434.93	$434.93	$543.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.14 / $856.50 / $2,575.76	Professional		$494.14	$856.50	$2,575.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.98 / $140.38 / $393.91	Professional	26	$80.98	$140.38	$393.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $413.15 / $716.12 / $2,181.85	Professional	TC	$413.15	$716.12	$2,181.85
United Facility/Professional Professional Modifier Low / Median / High Price $420.02 / $494.14 / $909.22	Professional		$420.02	$494.14	$909.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $140.38 / $147.21	Professional	26	$68.84	$140.38	$147.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $351.18 / $716.12 / $762.01	Professional	TC	$351.18	$716.12	$762.01