Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $192.11 / $192.11 / $192.11	Facility	26	$192.11	$192.11	$192.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $308.00 / $643.95	Professional		$224.25	$308.00	$643.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.46 / $188.30 / $259.01	Professional	26	$141.46	$188.30	$259.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.78 / $116.09 / $138.60	Professional	TC	$82.78	$116.09	$138.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.67 / $657.52 / $721.33	Professional		$540.67	$657.52	$721.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $348.58 / $423.91 / $464.77	Professional	26	$348.58	$423.91	$464.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.11 / $233.62 / $256.99	Professional	TC	$192.11	$233.62	$256.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $616.05 / $940.42	Professional		$351.44	$616.05	$940.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $216.10 / $392.65 / $599.66	Professional	26	$216.10	$392.65	$599.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.69 / $223.41 / $340.76	Professional	TC	$129.69	$223.41	$340.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.79 / $562.97 / $1,850.58	Professional		$329.79	$562.97	$1,850.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $208.38 / $359.94 / $1,166.03	Professional	26	$208.38	$359.94	$1,166.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $121.41 / $209.70 / $684.55	Professional	TC	$121.41	$209.70	$684.55
United Facility/Professional Professional Modifier Low / Median / High Price $310.37 / $552.51 / $733.56	Professional		$310.37	$552.51	$733.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $194.52 / $344.81 / $456.36	Professional	26	$194.52	$344.81	$456.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.85 / $207.25 / $277.20	Professional	TC	$115.85	$207.25	$277.20