Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.29 / $1,292.33 / $2,677.01	Facility		$548.29	$1,292.33	$2,677.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.14 / $74.14 / $126.03	Facility	26	$74.14	$74.14	$126.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $239.34 / $451.44	Professional		$205.23	$239.34	$451.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $72.36 / $200.29	Professional	26	$64.20	$72.36	$200.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.12 / $175.12 / $946.72	Professional	TC	$122.12	$175.12	$946.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.02 / $471.44 / $494.40	Professional		$382.02	$471.44	$494.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.82 / $163.91 / $171.32	Professional	26	$132.82	$163.91	$171.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.21 / $307.52 / $322.52	Professional	TC	$249.21	$307.52	$322.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $219.59 / $219.59	Facility		$219.59	$219.59	$219.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.66 / $414.89 / $618.16	Professional		$249.66	$414.89	$618.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.11 / $138.88 / $210.98	Professional	26	$78.11	$138.88	$210.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.72 / $273.29 / $413.99	Professional	TC	$170.72	$273.29	$413.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.18 / $341.66 / $1,264.20	Facility		$210.18	$341.66	$1,264.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $432.52 / $3,949.29	Professional		$235.34	$432.52	$3,949.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $128.30 / $433.24	Professional	26	$75.06	$128.30	$433.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $166.31 / $293.62 / $1,005.74	Professional	TC	$166.31	$293.62	$1,005.74
United Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $385.58 / $507.05	Professional		$211.49	$385.58	$507.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $128.30 / $186.51	Professional	26	$75.06	$128.30	$186.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $265.89 / $332.38	Professional	TC	$136.41	$265.89	$332.38