Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.80 / $161.80 / $161.80	Facility	26	$161.80	$161.80	$161.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $273.66 / $591.29	Professional		$193.92	$273.66	$591.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.28 / $161.80 / $272.10	Professional	26	$119.28	$161.80	$272.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.64 / $104.53 / $124.96	Professional	TC	$74.64	$104.53	$124.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.80 / $561.60 / $617.79	Professional		$461.80	$561.60	$617.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $293.87 / $357.38 / $391.83	Professional	26	$293.87	$357.38	$391.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.85 / $204.22 / $231.28	Professional	TC	$169.85	$204.22	$231.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $531.65 / $803.23	Professional		$303.00	$531.65	$803.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $182.01 / $331.12 / $505.61	Professional	26	$182.01	$331.12	$505.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.74 / $200.53 / $297.61	Professional	TC	$116.74	$200.53	$297.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $496.96 / $1,600.14	Professional		$287.30	$496.96	$1,600.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $176.16 / $300.70 / $982.86	Professional	26	$176.16	$300.70	$982.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $111.14 / $190.66 / $617.27	Professional	TC	$111.14	$190.66	$617.27
United Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $477.32 / $633.80	Professional		$268.14	$477.32	$633.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $163.85 / $292.74 / $384.36	Professional	26	$163.85	$292.74	$384.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.14 / $185.71 / $233.81	Professional	TC	$111.14	$185.71	$233.81