Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $289.77 / $289.77 / $470.30	Facility	26	$289.77	$289.77	$470.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.82 / $1,077.41 / $1,702.67	Professional		$1,012.82	$1,077.41	$1,702.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $268.74 / $294.19 / $676.40	Professional	26	$268.74	$294.19	$676.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $728.19 / $787.63 / $1,232.34	Professional	TC	$728.19	$787.63	$1,232.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,915.30 / $2,302.88 / $2,549.80	Professional		$1,915.30	$2,302.88	$2,549.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $552.01 / $663.71 / $727.69	Professional	26	$552.01	$663.71	$727.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,372.43 / $1,639.17 / $1,837.75	Professional	TC	$1,372.43	$1,639.17	$1,837.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.47 / $1,933.71 / $3,121.38	Professional		$1,407.47	$1,933.71	$3,121.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $398.48 / $516.27 / $833.35	Professional	26	$398.48	$516.27	$833.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $965.60 / $1,417.44 / $2,288.02	Professional	TC	$965.60	$1,417.44	$2,288.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,107.13 / $1,976.51 / $2,592.96	Professional		$1,107.13	$1,976.51	$2,592.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $321.45 / $548.74 / $684.61	Professional	26	$321.45	$548.74	$684.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $788.55 / $1,428.50 / $1,908.35	Professional	TC	$788.55	$1,428.50	$1,908.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,207.78 / $2,012.96 / $2,592.96	Professional		$1,207.78	$2,012.96	$2,592.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $350.68 / $584.46 / $684.61	Professional	26	$350.68	$584.46	$684.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $857.10 / $1,444.91 / $1,908.35	Professional	TC	$857.10	$1,444.91	$1,908.35