Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.22 / $396.98 / $611.38	Professional	TC	$336.22	$396.98	$611.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.24 / $397.66 / $497.07	Professional	TC	$298.24	$397.66	$497.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.76 / $132.76 / $132.76	Facility	26	$132.76	$132.76	$132.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $360.84 / $516.01 / $868.11	Professional	TC	$360.84	$516.01	$868.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $269.57 / $526.83 / $526.83	Facility	26	$269.57	$526.83	$526.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $337.59 / $429.65 / $2,779.03	Professional	TC	$337.59	$429.65	$2,779.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.36 / $388.74 / $767.25	Professional	TC	$327.36	$388.74	$767.25