Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.70 / $59.70 / $96.70	Facility	26	$59.70	$59.70	$96.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $440.96 / $675.53	Professional		$326.77	$440.96	$675.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.15 / $59.70 / $87.49	Professional	26	$44.15	$59.70	$87.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.62 / $384.20 / $576.26	Professional	TC	$282.62	$384.20	$576.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.09 / $1,018.00 / $1,116.11	Professional		$837.09	$1,018.00	$1,116.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.87 / $129.96 / $142.49	Professional	26	$106.87	$129.96	$142.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $730.23 / $888.04 / $973.64	Professional	TC	$730.23	$888.04	$973.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.01 / $916.84 / $1,146.05	Professional		$502.01	$916.84	$1,146.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.26 / $115.08 / $144.71	Professional	26	$72.26	$115.08	$144.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $429.74 / $802.66 / $1,003.33	Professional	TC	$429.74	$802.66	$1,003.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.13 / $802.96 / $3,905.69	Professional		$475.13	$802.96	$3,905.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.43 / $111.69 / $617.51	Professional	26	$65.43	$111.69	$617.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $409.70 / $670.43 / $3,576.06	Professional	TC	$409.70	$670.43	$3,576.06
United Facility/Professional Professional Modifier Low / Median / High Price $422.61 / $770.51 / $1,006.18	Professional		$422.61	$770.51	$1,006.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.63 / $107.32 / $141.63	Professional	26	$60.63	$107.32	$141.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $409.70 / $687.76 / $829.78	Professional	TC	$409.70	$687.76	$829.78