Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.84 / $122.84 / $199.78	Facility	26	$122.84	$122.84	$199.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.85 / $687.64 / $1,065.40	Professional		$475.85	$687.64	$1,065.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.15 / $128.61 / $339.30	Professional	26	$110.15	$128.61	$339.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $237.93 / $320.37 / $494.79	Professional	52	$237.93	$320.37	$494.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $384.49 / $559.03 / $884.77	Professional	TC	$384.49	$559.03	$884.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.49 / $1,455.06 / $1,595.32	Professional		$1,196.49	$1,455.06	$1,595.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $220.72 / $268.43 / $294.29	Professional	26	$220.72	$268.43	$294.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $975.76 / $1,186.64 / $1,301.01	Professional	TC	$975.76	$1,186.64	$1,301.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.23 / $1,309.57 / $1,636.96	Professional		$732.23	$1,309.57	$1,636.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $149.00 / $237.79 / $299.00	Professional	26	$149.00	$237.79	$299.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $583.23 / $1,073.66 / $1,342.07	Professional	TC	$583.23	$1,073.66	$1,342.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.83 / $1,179.28 / $6,200.00	Professional		$690.83	$1,179.28	$6,200.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $136.96 / $230.02 / $2,600.00	Professional	26	$136.96	$230.02	$2,600.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $546.25 / $910.15 / $7,000.00	Professional	TC	$546.25	$910.15	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.83 / $1,132.58 / $1,478.32	Professional		$690.83	$1,132.58	$1,478.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $134.63 / $220.39 / $291.49	Professional	26	$134.63	$220.39	$291.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $496.59 / $907.23 / $1,186.83	Professional	TC	$496.59	$907.23	$1,186.83