Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.26 / $58.26 / $58.26	Facility	26	$58.26	$58.26	$58.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.76 / $351.06 / $626.20	Professional		$296.76	$351.06	$626.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $58.26 / $269.10	Professional	26	$51.32	$58.26	$269.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $311.98 / $578.79	Professional	TC	$251.27	$311.98	$578.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.13 / $898.87 / $988.80	Professional		$739.13	$898.87	$988.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.59 / $128.41 / $141.06	Professional	26	$105.59	$128.41	$141.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $633.54 / $770.47 / $847.55	Professional	TC	$633.54	$770.47	$847.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.32 / $836.86 / $1,307.74	Professional		$296.32	$836.86	$1,307.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $118.32 / $181.45	Professional	26	$64.23	$118.32	$181.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.28 / $720.74 / $1,126.29	Professional	TC	$255.28	$720.74	$1,126.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $376.85 / $693.42 / $2,452.27	Professional		$376.85	$693.42	$2,452.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.67 / $110.87 / $354.09	Professional	26	$63.67	$110.87	$354.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $312.52 / $572.33 / $2,098.17	Professional	TC	$312.52	$572.33	$2,098.17
United Facility/Professional Professional Modifier Low / Median / High Price $371.72 / $656.93 / $887.00	Professional		$371.72	$656.93	$887.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $106.88 / $137.88	Professional	26	$59.19	$106.88	$137.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $312.52 / $559.14 / $749.13	Professional	TC	$312.52	$559.14	$749.13