Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.39 / $855.31 / $1,004.79	Facility		$111.39	$855.31	$1,004.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.17 / $22.18 / $35.26	Facility	26	$22.17	$22.18	$35.26
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $101.23 / $169.45 / $406.71	Facility	TC	$101.23	$169.45	$406.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $123.43 / $269.67	Professional		$57.60	$123.43	$269.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.28 / $97.92	Professional	26	$19.95	$23.28	$97.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.14 / $106.95 / $284.31	Professional	TC	$94.14	$106.95	$284.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $287.24 / $301.24	Professional		$232.76	$287.24	$301.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $50.31 / $52.58	Professional	26	$40.76	$50.31	$52.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.00 / $236.94 / $248.48	Professional	TC	$192.00	$236.94	$248.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.10 / $133.10 / $133.10	Facility		$133.10	$133.10	$133.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.98 / $23.98 / $23.98	Facility	26	$23.98	$23.98	$23.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $109.98 / $109.98 / $109.98	Facility	TC	$109.98	$109.98	$109.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $233.95 / $377.65	Professional		$142.88	$233.95	$377.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.77 / $41.66 / $63.29	Professional	26	$22.77	$41.66	$63.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.76 / $194.74 / $315.64	Professional	TC	$117.76	$194.74	$315.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $204.71 / $579.79	Facility		$123.40	$204.71	$579.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $487.16 / $544.70 / $669.70	Facility	TC	$487.16	$544.70	$669.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $230.60 / $1,052.95	Professional		$133.51	$230.60	$1,052.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $43.51 / $237.75	Professional	26	$26.35	$43.51	$237.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.18 / $194.92 / $927.48	Professional	TC	$109.18	$194.92	$927.48
United Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $222.23 / $295.55	Professional		$124.15	$222.23	$295.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.08 / $38.65 / $52.49	Professional	26	$23.08	$38.65	$52.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $172.40 / $243.06	Professional	TC	$101.41	$172.40	$243.06