Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $89.13 / $144.54	Facility	26	$85.11	$89.13	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $630.96	Professional		$194.98	$275.42	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $93.33 / $257.04	Professional	26	$75.86	$93.33	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $169.82 / $269.15	Professional	TC	$123.03	$169.82	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $588.84	Professional		$398.11	$537.03	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $186.21 / $208.93	Professional	26	$141.25	$186.21	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $380.19	Professional	TC	$257.04	$346.74	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $645.65	Professional		$239.88	$446.68	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $158.49 / $234.42	Professional	26	$91.20	$158.49	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $288.40 / $416.87	Professional	TC	$151.36	$288.40	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $2,398.83	Professional		$239.88	$467.74	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $154.88 / $524.81	Professional	26	$87.10	$154.88	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $316.23 / $977.24	Professional	TC	$151.36	$316.23	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $588.84	Professional		$239.88	$407.38	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $144.54 / $213.80	Professional	26	$87.10	$144.54	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $263.03 / $371.54	Professional	TC	$151.36	$263.03	$371.54