Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.43 / $104.43 / $104.43	Facility	26	$104.43	$104.43	$104.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.09 / $307.73 / $385.13	Professional		$201.09	$307.73	$385.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.04 / $104.43 / $141.28	Professional	26	$77.04	$104.43	$141.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.05 / $198.38 / $278.31	Professional	TC	$124.05	$198.38	$278.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.04 / $673.77 / $741.18	Professional		$554.04	$673.77	$741.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $189.55 / $230.52 / $252.74	Professional	26	$189.55	$230.52	$252.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $364.48 / $443.25 / $487.60	Professional	TC	$364.48	$443.25	$487.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $622.33 / $972.50	Professional		$203.92	$622.33	$972.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.59 / $213.55 / $326.38	Professional	26	$117.59	$213.55	$326.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.59 / $413.47 / $646.12	Professional	TC	$129.59	$413.47	$646.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $554.04 / $2,013.87	Professional		$261.29	$554.04	$2,013.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $198.14 / $716.57	Professional	26	$106.10	$198.14	$716.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $155.19 / $343.88 / $1,590.04	Professional	TC	$155.19	$343.88	$1,590.04
United Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $523.26 / $618.95	Professional		$261.29	$523.26	$618.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $189.94 / $247.81	Professional	26	$106.10	$189.94	$247.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.19 / $322.79 / $404.56	Professional	TC	$155.19	$322.79	$404.56