Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.45 / $126.34 / $145.29	Facility	26	$69.45	$126.34	$145.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.06 / $464.55 / $899.88	Professional		$358.06	$464.55	$899.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.43 / $71.39 / $142.77	Professional	26	$56.43	$71.39	$142.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $179.03 / $232.28 / $449.94	Professional	52	$179.03	$232.28	$449.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $301.64 / $392.78 / $757.11	Professional	TC	$301.64	$392.78	$757.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.79 / $423.79 / $423.79	Professional		$423.79	$423.79	$423.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.70 / $655.99 / $960.02	Professional		$402.70	$655.99	$960.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.55 / $94.22 / $200.00	Professional	26	$59.55	$94.22	$200.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.83 / $544.99 / $828.65	Professional	TC	$342.83	$544.99	$828.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $138.21 / $138.21 / $138.21	Facility	26	$138.21	$138.21	$138.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.14 / $648.20 / $2,899.13	Professional		$456.14	$648.20	$2,899.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $101.36 / $873.43	Professional	26	$68.75	$101.36	$873.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $386.66 / $551.98 / $2,483.58	Professional	TC	$386.66	$551.98	$2,483.58
United Facility/Professional Professional Modifier Low / Median / High Price $435.40 / $584.44 / $957.38	Professional		$435.40	$584.44	$957.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.05 / $87.00 / $140.66	Professional	26	$65.05	$87.00	$140.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $369.08 / $496.36 / $825.89	Professional	TC	$369.08	$496.36	$825.89