Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.39 / $64.39 / $103.68	Facility	26	$64.39	$64.39	$103.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $236.17 / $362.37	Professional		$215.53	$236.17	$362.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $70.00 / $322.18	Professional	26	$62.78	$70.00	$322.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.75 / $171.78 / $468.84	Professional	TC	$152.75	$171.78	$468.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.10 / $523.38 / $548.86	Professional		$424.10	$523.38	$548.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.35 / $146.06 / $152.66	Professional	26	$118.35	$146.06	$152.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $305.75 / $377.32 / $396.23	Professional	TC	$305.75	$377.32	$396.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $69.50	Facility	26	$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.38 / $453.44 / $688.83	Professional		$233.38	$453.44	$688.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.77 / $123.63 / $187.77	Professional	26	$73.77	$123.63	$187.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.52 / $329.84 / $501.07	Professional	TC	$164.52	$329.84	$501.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $448.71 / $1,442.20	Professional		$237.47	$448.71	$1,442.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.88 / $120.46 / $507.29	Professional	26	$66.88	$120.46	$507.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $172.15 / $315.13 / $1,055.58	Professional	TC	$172.15	$315.13	$1,055.58
United Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $416.16 / $541.29	Professional		$237.47	$416.16	$541.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $115.47 / $154.13	Professional	26	$65.31	$115.47	$154.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.15 / $314.66 / $416.09	Professional	TC	$172.15	$314.66	$416.09