Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.23 / $62.23 / $99.59	Facility	26	$62.23	$62.23	$99.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $418.33 / $614.75	Professional		$296.67	$418.33	$614.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.88 / $62.23 / $103.40	Professional	26	$45.88	$62.23	$103.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $148.34 / $206.04 / $307.38	Professional	52	$148.34	$206.04	$307.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.79 / $359.73 / $511.35	Professional	TC	$250.79	$359.73	$511.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.02 / $960.76 / $1,053.35	Professional		$790.02	$960.76	$1,053.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.04 / $133.83 / $146.97	Professional	26	$110.04	$133.83	$146.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $679.98 / $826.94 / $906.64	Professional	TC	$679.98	$826.94	$906.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.49 / $872.13 / $1,096.63	Professional		$539.49	$872.13	$1,096.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.28 / $118.55 / $149.07	Professional	26	$76.28	$118.55	$149.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $443.33 / $753.58 / $947.57	Professional	TC	$443.33	$753.58	$947.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.35 / $845.03 / $2,899.13	Professional		$460.35	$845.03	$2,899.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $117.45 / $873.43	Professional	26	$68.81	$117.45	$873.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $386.66 / $732.44 / $2,483.58	Professional	TC	$386.66	$732.44	$2,483.58
United Facility/Professional Professional Modifier Low / Median / High Price $414.67 / $787.87 / $987.02	Professional		$414.67	$787.87	$987.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $112.59 / $147.61	Professional	26	$63.16	$112.59	$147.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $439.39 / $641.78 / $813.82	Professional	TC	$439.39	$641.78	$813.82