Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.76 / $1,258.84 / $1,569.60	Facility		$144.76	$1,258.84	$1,569.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.25 / $34.25 / $54.48	Facility	26	$34.25	$34.25	$54.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $163.11 / $163.11 / $265.23	Facility	TC	$163.11	$163.11	$265.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.18 / $205.65 / $319.73	Professional		$176.18	$205.65	$319.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $35.18 / $93.02	Professional	26	$30.56	$35.18	$93.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.76 / $169.96 / $431.65	Professional	TC	$150.76	$169.96	$431.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.61 / $448.73 / $470.57	Professional		$363.61	$448.73	$470.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.12 / $77.90 / $81.69	Professional	26	$63.12	$77.90	$81.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.48 / $370.82 / $388.88	Professional	TC	$300.48	$370.82	$388.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.15 / $209.15 / $209.15	Facility		$209.15	$209.15	$209.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.51 / $37.51 / $37.51	Facility	26	$37.51	$37.51	$37.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $172.98 / $172.98 / $172.98	Facility	TC	$172.98	$172.98	$172.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.98 / $365.31 / $589.67	Professional		$204.98	$365.31	$589.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $65.27 / $99.16	Professional	26	$35.36	$65.27	$99.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.87 / $303.88 / $496.52	Professional	TC	$167.87	$303.88	$496.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.37 / $319.10 / $611.82	Facility		$197.37	$319.10	$611.82
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $673.62 / $802.53 / $912.02	Facility	TC	$673.62	$802.53	$912.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $378.02 / $1,578.90	Professional		$218.74	$378.02	$1,578.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $66.51 / $889.65	Professional	26	$38.90	$66.51	$889.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $179.83 / $312.37 / $1,388.59	Professional	TC	$179.83	$312.37	$1,388.59
United Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $343.40 / $444.56	Professional		$198.85	$343.40	$444.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $62.19 / $80.88	Professional	26	$35.36	$62.19	$80.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.85 / $288.82 / $363.41	Professional	TC	$180.85	$288.82	$363.41