Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.62 / $58.62 / $58.62	Facility	26	$58.62	$58.62	$58.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $400.63 / $590.09	Professional		$338.67	$400.63	$590.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.15 / $58.62 / $362.23	Professional	26	$51.15	$58.62	$362.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $347.39 / $511.08	Professional	TC	$287.33	$347.39	$511.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.63 / $1,046.61 / $1,151.33	Professional		$860.63	$1,046.61	$1,151.33
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 $755.04 / $918.22 / $1,010.08	Professional	TC	$755.04	$918.22	$1,010.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.33 / $975.62 / $1,524.58	Professional		$348.33	$975.62	$1,524.58
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 $307.02 / $859.51 / $1,343.14	Professional	TC	$307.02	$859.51	$1,343.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.38 / $797.45 / $2,879.21	Professional		$441.38	$797.45	$2,879.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $110.66 / $356.25	Professional	26	$64.06	$110.66	$356.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $381.83 / $686.79 / $2,522.94	Professional	TC	$381.83	$686.79	$2,522.94
United Facility/Professional Professional Modifier Low / Median / High Price $441.38 / $781.24 / $1,028.08	Professional		$441.38	$781.24	$1,028.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.55 / $105.40 / $144.06	Professional	26	$59.55	$105.40	$144.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $381.83 / $657.99 / $914.50	Professional	TC	$381.83	$657.99	$914.50