Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.22 / $86.22 / $139.50	Facility	26	$86.22	$86.22	$139.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.60 / $259.41 / $404.14	Professional		$237.60	$259.41	$404.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.59 / $89.13 / $242.61	Professional	26	$79.59	$89.13	$242.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.38 / $170.28 / $261.02	Professional	TC	$151.38	$170.28	$261.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $558.27 / $585.46	Professional		$452.38	$558.27	$585.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $159.12 / $196.36 / $205.24	Professional	26	$159.12	$196.36	$205.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $293.26 / $361.90 / $379.53	Professional	TC	$293.26	$361.90	$379.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.46 / $93.46 / $93.46	Facility	26	$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.94 / $485.04 / $733.14	Professional		$277.94	$485.04	$733.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.98 / $167.35 / $254.22	Professional	26	$100.98	$167.35	$254.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.12 / $316.85 / $478.91	Professional	TC	$163.12	$316.85	$478.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $498.16 / $2,380.40	Professional		$262.27	$498.16	$2,380.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.47 / $158.16 / $520.19	Professional	26	$94.47	$158.16	$520.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $159.25 / $326.72 / $982.86	Professional	TC	$159.25	$326.72	$982.86
United Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $440.19 / $563.79	Professional		$239.27	$440.19	$563.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.34 / $146.00 / $206.46	Professional	26	$87.34	$146.00	$206.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.93 / $287.13 / $375.12	Professional	TC	$151.93	$287.13	$375.12