Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.48 / $109.48 / $177.94	Facility	26	$109.48	$109.48	$177.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.61 / $194.54 / $501.30	Professional		$164.61	$194.54	$501.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.45 / $109.48 / $162.55	Professional	26	$80.45	$109.48	$162.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $81.41 / $121.40	Professional	TC	$57.94	$81.41	$121.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.13 / $401.48 / $441.65	Professional		$330.13	$401.48	$441.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $196.56 / $239.03 / $262.07	Professional	26	$196.56	$239.03	$262.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.03 / $162.44 / $179.05	Professional	TC	$134.03	$162.44	$179.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.72 / $371.41 / $576.41	Professional		$215.72	$371.41	$576.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.95 / $220.50 / $339.66	Professional	26	$122.95	$220.50	$339.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.61 / $157.82 / $236.76	Professional	TC	$94.61	$157.82	$236.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.71 / $357.89 / $1,142.65	Professional		$218.71	$357.89	$1,142.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $119.41 / $206.25 / $663.65	Professional	26	$119.41	$206.25	$663.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.89 / $169.52 / $479.00	Professional	TC	$92.89	$169.52	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $357.89 / $462.25	Professional		$195.61	$357.89	$462.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $196.38 / $258.94	Professional	26	$111.16	$196.38	$258.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.90 / $156.65 / $187.73	Professional	TC	$93.90	$156.65	$187.73