Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.16 / $629.14 / $731.70	Facility		$168.16	$629.14	$731.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.03 / $42.03 / $66.11	Facility	26	$42.03	$42.03	$66.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $168.39 / $233.35	Professional		$125.53	$168.39	$233.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.95 / $55.46 / $113.37	Professional	26	$37.95	$55.46	$113.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.14 / $138.81 / $203.59	Professional	TC	$94.14	$138.81	$203.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.70 / $297.82 / $338.21	Professional		$247.70	$297.82	$338.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.15 / $88.96 / $97.86	Professional	26	$73.15	$88.96	$97.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.71 / $208.86 / $242.05	Professional	TC	$173.71	$208.86	$242.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.88 / $286.32 / $360.02	Professional		$205.88	$286.32	$360.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.73 / $79.03 / $99.38	Professional	26	$61.73	$79.03	$99.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.47 / $190.65 / $239.73	Professional	TC	$144.47	$190.65	$239.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $222.75 / $296.33	Facility		$156.94	$222.75	$296.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.57 / $323.82 / $1,023.12	Professional		$197.57	$323.82	$1,023.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.53 / $94.14 / $261.30	Professional	26	$57.53	$94.14	$261.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $140.12 / $239.60 / $767.60	Professional	TC	$140.12	$239.60	$767.60
United Facility/Professional Professional Modifier Low / Median / High Price $197.89 / $308.49 / $402.64	Professional		$197.89	$308.49	$402.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.24 / $94.14 / $104.60	Professional	26	$53.24	$94.14	$104.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.31 / $226.96 / $302.89	Professional	TC	$126.31	$226.96	$302.89