Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.88 / $1,193.45 / $1,218.18	Facility		$1,105.88	$1,193.45	$1,218.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.75 / $38.75 / $63.00	Facility	26	$38.75	$38.75	$63.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $201.31 / $296.44	Professional		$169.62	$201.31	$296.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $37.86 / $93.71	Professional	26	$30.82	$37.86	$93.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.68 / $162.49 / $251.96	Professional	TC	$133.68	$162.49	$251.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.75 / $436.55 / $456.96	Professional		$353.75	$436.55	$456.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $92.44 / $96.68	Professional	26	$74.95	$92.44	$96.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.79 / $344.05 / $360.81	Professional	TC	$278.79	$344.05	$360.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.70 / $201.70 / $201.70	Facility		$201.70	$201.70	$201.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.31 / $43.31 / $43.31	Facility	26	$43.31	$43.31	$43.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $353.72 / $568.58	Professional		$186.43	$353.72	$568.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.01 / $70.22 / $112.87	Professional	26	$37.01	$70.22	$112.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.09 / $282.31 / $477.95	Professional	TC	$152.09	$282.31	$477.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.95 / $291.69 / $409.35	Facility		$189.95	$291.69	$409.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $360.55 / $1,459.71	Professional		$211.20	$360.55	$1,459.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.42 / $73.40 / $361.59	Professional	26	$40.42	$73.40	$361.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $166.74 / $290.55 / $1,274.61	Professional	TC	$166.74	$290.55	$1,274.61
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $339.84 / $454.25	Professional		$192.00	$339.84	$454.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $70.36 / $91.23	Professional	26	$33.83	$70.36	$91.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.58 / $271.33 / $363.02	Professional	TC	$151.58	$271.33	$363.02