Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $184.02 / $1,258.16	Professional		$123.35	$184.02	$1,258.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $21.06 / $173.42	Professional	26	$14.63	$21.06	$173.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.72 / $135.51 / $1,084.74	Professional	TC	$108.72	$135.51	$1,084.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $130.71 / $147.05	Professional		$81.70	$130.71	$147.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $16.63 / $18.71	Professional	26	$10.40	$16.63	$18.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.30 / $114.08 / $128.34	Professional	TC	$71.30	$114.08	$128.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.47 / $244.63	Professional		$91.20	$154.47	$244.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $29.50 / $59.00	Professional	26	$11.78	$29.50	$59.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.20 / $108.20 / $182.48	Professional	TC	$71.20	$108.20	$182.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $240.51 / $240.51 / $240.51	Facility	26	$240.51	$240.51	$240.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $182.97 / $1,336.58	Professional		$96.80	$182.97	$1,336.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $32.29 / $315.72	Professional	26	$15.59	$32.29	$315.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.53 / $150.11 / $1,188.97	Professional	TC	$80.53	$150.11	$1,188.97
United Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $127.12 / $235.75	Professional		$96.80	$127.12	$235.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.03 / $28.58 / $53.97	Professional	26	$14.03	$28.58	$53.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.37 / $99.95 / $195.75	Professional	TC	$66.37	$99.95	$195.75