Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.23 / $86.23 / $5,557.30	Facility	26	$86.23	$86.23	$5,557.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.19 / $335.09 / $508.81	Professional		$282.19	$335.09	$508.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $135.47 / $169.28 / $244.23	Professional	52	$135.47	$169.28	$244.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.80 / $293.01 / $450.21	Professional	TC	$247.80	$293.01	$450.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $340.13 / $425.16	Professional		$255.10	$340.13	$425.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.70 / $299.60 / $374.50	Professional	TC	$224.70	$299.60	$374.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $50.88 / $50.88	Facility	26	$50.88	$50.88	$50.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $404.27 / $737.65	Professional		$108.10	$404.27	$737.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $265.05 / $385.16 / $660.64	Professional	TC	$265.05	$385.16	$660.64
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.98 / $201.33 / $201.33	Facility	26	$102.98	$201.33	$201.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.60 / $364.98 / $2,332.00	Professional		$288.60	$364.98	$2,332.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $249.90 / $311.20 / $2,048.28	Professional	TC	$249.90	$311.20	$2,048.28
United Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $343.25 / $655.64	Professional		$286.77	$343.25	$655.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.53 / $300.60 / $579.92	Professional	TC	$244.53	$300.60	$579.92