Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.22 / $84.52 / $116.78	Facility	26	$53.22	$84.52	$116.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.64 / $403.82 / $534.29	Professional		$361.64	$403.82	$534.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.20 / $58.61 / $66.22	Professional	26	$53.20	$58.61	$66.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $308.43 / $347.51 / $467.43	Professional	TC	$308.43	$347.51	$467.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $383.95 / $527.22	Professional		$56.70	$383.95	$527.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.04 / $512.03 / $690.60	Professional		$376.04	$512.03	$690.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.68 / $80.00 / $134.69	Professional	26	$56.68	$80.00	$134.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.02 / $432.88 / $592.39	Professional	TC	$295.02	$432.88	$592.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $416.00 / $416.00	Facility	26	$133.12	$416.00	$416.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.22 / $540.74 / $3,905.69	Professional		$359.22	$540.74	$3,905.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $91.37 / $617.51	Professional	26	$51.54	$91.37	$617.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $304.12 / $470.57 / $3,576.06	Professional	TC	$304.12	$470.57	$3,576.06
United Facility/Professional Professional Modifier Low / Median / High Price $359.22 / $449.17 / $757.66	Professional		$359.22	$449.17	$757.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $73.23 / $117.62	Professional	26	$51.54	$73.23	$117.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.44 / $401.77 / $673.46	Professional	TC	$300.44	$401.77	$673.46