Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.61 / $47.61 / $76.90	Facility	26	$47.61	$47.61	$76.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $252.59 / $317.08	Professional		$206.63	$252.59	$317.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $49.22 / $63.32	Professional	26	$44.14	$49.22	$63.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $207.97 / $255.36	Professional	TC	$162.49	$207.97	$255.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.98 / $623.16 / $682.21	Professional		$504.98	$623.16	$682.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.11 / $108.73 / $114.03	Professional	26	$88.11	$108.73	$114.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $514.44 / $569.48	Professional	TC	$416.87	$514.44	$569.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.57 / $509.73 / $862.97	Professional		$271.57	$509.73	$862.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.38 / $91.50 / $139.24	Professional	26	$49.38	$91.50	$139.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.19 / $423.47 / $716.93	Professional	TC	$222.19	$423.47	$716.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $523.87 / $1,904.10	Professional		$277.89	$523.87	$1,904.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $89.53 / $588.72	Professional	26	$48.72	$89.53	$588.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $234.07 / $440.55 / $1,640.58	Professional	TC	$234.07	$440.55	$1,640.58
United Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $491.87 / $662.18	Professional		$277.89	$491.87	$662.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $86.01 / $112.62	Professional	26	$48.72	$86.01	$112.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.17 / $419.72 / $549.44	Professional	TC	$229.17	$419.72	$549.44