Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.15 / $57.15 / $92.07	Facility	26	$57.15	$57.15	$92.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $276.38 / $470.17	Professional		$246.93	$276.38	$470.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $84.59 / $225.40	Professional	26	$52.48	$84.59	$225.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $223.20 / $1,133.85	Professional	TC	$162.34	$223.20	$1,133.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.53 / $633.73 / $664.59	Professional		$513.53	$633.73	$664.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.52 / $131.44 / $137.38	Professional	26	$106.52	$131.44	$137.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $407.01 / $502.27 / $526.74	Professional	TC	$407.01	$502.27	$526.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.58 / $62.58 / $62.58	Facility	26	$62.58	$62.58	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.45 / $514.96 / $871.82	Professional		$323.45	$514.96	$871.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.55 / $115.20 / $176.48	Professional	26	$65.55	$115.20	$176.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.23 / $412.36 / $675.24	Professional	TC	$227.23	$412.36	$675.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $534.11 / $2,362.07	Professional		$282.58	$534.11	$2,362.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.11 / $115.18 / $507.12	Professional	26	$69.11	$115.18	$507.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $246.13 / $429.50 / $1,854.93	Professional	TC	$246.13	$429.50	$1,854.93
United Facility/Professional Professional Modifier Low / Median / High Price $312.88 / $514.29 / $733.86	Professional		$312.88	$514.29	$733.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.83 / $104.13 / $135.08	Professional	26	$58.83	$104.13	$135.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.75 / $396.04 / $535.86	Professional	TC	$223.75	$396.04	$535.86