Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.19 / $77.23 / $133.19	Facility	26	$69.19	$77.23	$133.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $197.90 / $363.70	Professional		$152.94	$197.90	$363.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.61 / $68.94 / $133.19	Professional	26	$55.61	$68.94	$133.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.12 / $126.40 / $230.50	Professional	TC	$97.12	$126.40	$230.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.05 / $431.05 / $431.05	Professional		$431.05	$431.05	$431.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.18 / $427.49 / $618.98	Professional		$297.18	$427.49	$618.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.06 / $83.38 / $116.75	Professional	26	$57.06	$83.38	$116.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.72 / $348.29 / $524.71	Professional	TC	$241.72	$348.29	$524.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.77 / $134.77 / $261.89	Facility	26	$134.77	$134.77	$261.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.63 / $404.86 / $1,731.57	Professional		$303.63	$404.86	$1,731.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $80.45 / $367.94	Professional	26	$61.71	$80.45	$367.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $244.43 / $324.39 / $1,410.54	Professional	TC	$244.43	$324.39	$1,410.54
United Facility/Professional Professional Modifier Low / Median / High Price $303.63 / $383.39 / $584.69	Professional		$303.63	$383.39	$584.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $76.19 / $149.77	Professional	26	$61.71	$76.19	$149.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.43 / $307.20 / $486.40	Professional	TC	$243.43	$307.20	$486.40