Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.23 / $161.16 / $207.41	Facility	26	$126.23	$161.16	$207.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.84 / $407.60 / $539.37	Professional		$354.84	$407.60	$539.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.32 / $59.35 / $78.79	Professional	26	$50.32	$59.35	$78.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $177.42 / $203.11 / $265.73	Professional	52	$177.42	$203.11	$265.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.45 / $348.85 / $473.22	Professional	TC	$299.45	$348.85	$473.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.49 / $377.98 / $472.48	Professional		$283.49	$377.98	$472.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.59 / $52.79 / $65.98	Professional	26	$39.59	$52.79	$65.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $243.89 / $325.19 / $406.49	Professional	TC	$243.89	$325.19	$406.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.31 / $67.31 / $67.31	Facility	26	$67.31	$67.31	$67.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $584.66 / $949.70	Professional		$387.55	$584.66	$949.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.91 / $87.77 / $155.94	Professional	26	$57.91	$87.77	$155.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $328.22 / $501.82 / $819.07	Professional	TC	$328.22	$501.82	$819.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $138.21 / $495.00 / $495.00	Facility	26	$138.21	$495.00	$495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $544.32 / $2,899.13	Professional		$382.30	$544.32	$2,899.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $82.14 / $873.43	Professional	26	$54.87	$82.14	$873.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $328.49 / $458.40 / $2,483.58	Professional	TC	$328.49	$458.40	$2,483.58
United Facility/Professional Professional Modifier Low / Median / High Price $367.68 / $487.08 / $879.44	Professional		$367.68	$487.08	$879.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.25 / $71.04 / $134.66	Professional	26	$54.25	$71.04	$134.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $321.42 / $411.60 / $705.56	Professional	TC	$321.42	$411.60	$705.56