Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,023.29 / $1,584.89	Facility		$269.15	$1,023.29	$1,584.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.90 / $63.10	Facility	26	$38.02	$38.90	$63.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $218.78 / $229.09 / $363.08	Facility	TC	$218.78	$229.09	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $489.78	Professional		$190.55	$251.19	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.90 / $102.33	Professional	26	$33.11	$38.90	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $208.93 / $398.11	Professional	TC	$162.18	$208.93	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $602.56	Professional		$416.87	$549.54	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $93.33	Professional	26	$64.57	$85.11	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $467.74 / $512.86	Professional	TC	$346.74	$467.74	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $676.08	Professional		$234.42	$446.68	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $69.18 / $97.72	Professional	26	$34.67	$69.18	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $371.54 / $575.44	Professional	TC	$199.53	$371.54	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $549.54	Facility		$257.04	$371.54	$549.54
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $812.83 / $831.76 / $851.14	Facility	TC	$812.83	$831.76	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $1,949.84	Professional		$257.04	$467.74	$1,949.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $70.79 / $398.11	Professional	26	$39.81	$70.79	$398.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $398.11 / $1,778.28	Professional	TC	$218.78	$398.11	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $616.60	Professional		$257.04	$436.52	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $63.10 / $95.50	Professional	26	$33.88	$63.10	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $371.54 / $524.81	Professional	TC	$218.78	$371.54	$524.81