Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $134.90	Facility	26	$54.95	$54.95	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $645.65	Professional		$354.81	$416.87	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $61.66 / $95.50	Professional	26	$54.95	$61.66	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $346.74 / $512.86	Professional	TC	$302.00	$346.74	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $489.78	Professional		$58.88	$81.28	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $724.44	Professional		$416.87	$562.34	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $123.03	Professional	26	$60.26	$87.10	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $446.68 / $616.60	Professional	TC	$354.81	$446.68	$616.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $489.78 / $489.78	Facility	26	$138.04	$489.78	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $2,884.03	Professional		$354.81	$512.86	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $870.96	Professional	26	$52.48	$83.18	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $457.09 / $2,511.89	Professional	TC	$302.00	$457.09	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $707.95	Professional		$346.74	$457.09	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $109.65	Professional	26	$51.29	$69.18	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $389.05 / $616.60	Professional	TC	$295.12	$389.05	$616.60