Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $121.94 / $201.24	Facility		$121.94	$121.94	$201.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.15 / $24.15 / $38.77	Facility	26	$24.15	$24.15	$38.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $123.08 / $135.04	Professional		$109.61	$123.08	$135.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $22.82 / $34.03	Professional	26	$20.50	$22.82	$34.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.12 / $105.31 / $161.71	Professional	TC	$87.12	$105.31	$161.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.47 / $283.19 / $296.98	Professional		$229.47	$283.19	$296.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.59 / $55.99 / $58.72	Professional	26	$47.59	$55.99	$58.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $184.10 / $227.20 / $238.26	Professional	TC	$184.10	$227.20	$238.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $131.97 / $131.97	Facility		$131.97	$131.97	$131.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $230.34 / $387.64	Professional		$132.62	$230.34	$387.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.68 / $43.31 / $69.62	Professional	26	$24.68	$43.31	$69.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.94 / $193.75 / $315.32	Professional	TC	$107.94	$193.75	$315.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $185.55 / $280.14	Facility		$121.94	$185.55	$280.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $232.65 / $1,013.21	Professional		$132.57	$232.65	$1,013.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $46.57 / $217.94	Professional	26	$25.26	$46.57	$217.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $105.61 / $189.00 / $889.85	Professional	TC	$105.61	$189.00	$889.85
United Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $218.47 / $291.51	Professional		$123.43	$218.47	$291.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $44.27 / $56.81	Professional	26	$25.26	$44.27	$56.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $172.82 / $234.70	Professional	TC	$98.17	$172.82	$234.70