Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.34 / $79.72 / $121.87	Facility	26	$68.34	$79.72	$121.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $197.12 / $280.70	Professional		$184.49	$197.12	$280.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.34 / $73.81 / $102.92	Professional	26	$68.34	$73.81	$102.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.15 / $123.31 / $181.59	Professional	TC	$116.15	$123.31	$181.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $221.90 / $304.70	Professional		$83.68	$221.90	$304.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.83 / $141.83 / $141.83	Facility	26	$141.83	$141.83	$141.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.91 / $306.79 / $392.81	Professional		$236.91	$306.79	$392.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.92 / $115.59 / $143.19	Professional	26	$87.92	$115.59	$143.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.99 / $188.44 / $242.66	Professional	TC	$148.99	$188.44	$242.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $192.51 / $366.35 / $366.35	Facility	26	$192.51	$366.35	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $290.70 / $2,380.40	Professional		$215.17	$290.70	$2,380.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.98 / $108.89 / $520.19	Professional	26	$75.98	$108.89	$520.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $132.16 / $185.32 / $982.86	Professional	TC	$132.16	$185.32	$982.86
United Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $262.44 / $380.16	Professional		$191.42	$262.44	$380.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.98 / $97.35 / $144.69	Professional	26	$75.98	$97.35	$144.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.13 / $164.53 / $258.00	Professional	TC	$129.13	$164.53	$258.00