Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $131.83 / $218.78	Facility	26	$125.89	$131.83	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,479.11	Professional		$588.84	$724.44	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $208.93 / $389.05	Professional	26	$117.49	$208.93	$389.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	52	$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $575.44 / $954.99	Professional	TC	$467.74	$575.44	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,698.24	Professional		$1,148.15	$1,513.56	$1,698.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $281.84 / $309.03	Professional	26	$208.93	$281.84	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $933.25 / $1,230.27 / $1,380.38	Professional	TC	$933.25	$1,230.27	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $1,698.24	Professional		$776.25	$1,380.38	$1,698.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $245.47 / $309.03	Professional	26	$151.36	$245.47	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $1,122.02 / $1,412.54	Professional	TC	$602.56	$1,122.02	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $6,165.95	Professional		$776.25	$1,230.27	$6,165.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $234.42 / $1,071.52	Professional	26	$162.18	$234.42	$1,071.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $954.99 / $3,890.45	Professional	TC	$602.56	$954.99	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,737.80	Professional		$724.44	$1,174.90	$1,737.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $234.42 / $323.59	Professional	26	$141.25	$234.42	$323.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $588.84 / $954.99 / $1,380.38	Professional	TC	$588.84	$954.99	$1,380.38