Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.19 / $111.19 / $111.19	Facility	26	$111.19	$111.19	$111.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $290.20 / $397.00 / $493.36	Professional	TC	$290.20	$397.00	$493.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $393.10 / $662.50 / $893.40	Professional	TC	$393.10	$662.50	$893.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $720.16 / $923.67 / $1,016.96	Professional	TC	$720.16	$923.67	$1,016.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $526.83 / $526.83 / $526.83	Facility	26	$526.83	$526.83	$526.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $571.96 / $732.09 / $2,779.03	Professional	TC	$571.96	$732.09	$2,779.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $589.41 / $728.97 / $996.47	Professional	TC	$589.41	$728.97	$996.47