Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.39 / $121.39 / $121.39	Facility	26	$121.39	$121.39	$121.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.22 / $411.57 / $563.01	Professional	TC	$336.22	$411.57	$563.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $830.73 / $1,010.27 / $1,111.34	Professional	TC	$830.73	$1,010.27	$1,111.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $411.98 / $945.18 / $1,477.01	Professional	TC	$411.98	$945.18	$1,477.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $412.50 / $739.29 / $2,779.03	Professional	TC	$412.50	$739.29	$2,779.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $412.50 / $755.04 / $1,146.52	Professional	TC	$412.50	$755.04	$1,146.52