Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.74 / $59.50 / $91.10	Facility	26	$50.74	$59.50	$91.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $215.53 / $918.85	Professional		$175.40	$215.53	$918.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.74 / $62.78 / $104.79	Professional	26	$50.74	$62.78	$104.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.65 / $147.07 / $195.51	Professional	TC	$124.65	$147.07	$195.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $215.60 / $296.05	Professional		$62.22	$215.60	$296.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.85 / $84.85 / $98.07	Facility	26	$84.85	$84.85	$98.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $285.45 / $345.81	Professional		$216.27	$285.45	$345.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.38 / $85.31 / $103.51	Professional	26	$65.38	$85.31	$103.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.90 / $198.26 / $243.91	Professional	TC	$140.90	$198.26	$243.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $143.07 / $314.00 / $314.00	Facility	26	$143.07	$314.00	$314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.60 / $269.49 / $1,442.20	Professional		$206.60	$269.49	$1,442.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.83 / $77.28 / $507.29	Professional	26	$56.83	$77.28	$507.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $142.88 / $190.44 / $1,055.58	Professional	TC	$142.88	$190.44	$1,055.58
United Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $244.44 / $375.91	Professional		$195.52	$244.44	$375.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $68.59 / $100.81	Professional	26	$55.52	$68.59	$100.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.72 / $177.92 / $272.51	Professional	TC	$137.72	$177.92	$272.51