Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.07 / $95.07 / $95.07	Facility	26	$95.07	$95.07	$95.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.56 / $332.56 / $338.25	Professional		$332.56	$332.56	$338.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.06 / $95.07 / $96.70	Professional	26	$95.06	$95.07	$96.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.49 / $237.49 / $241.55	Professional	TC	$237.49	$237.49	$241.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $284.55 / $390.73	Professional		$84.39	$284.55	$390.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.85 / $364.63 / $434.75	Professional		$263.85	$364.63	$434.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.35 / $114.28 / $139.57	Professional	26	$88.35	$114.28	$139.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.87 / $255.33 / $295.14	Professional	TC	$190.87	$255.33	$295.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $215.81 / $378.47 / $378.47	Facility	26	$215.81	$378.47	$378.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $387.00 / $2,227.92	Professional		$258.41	$387.00	$2,227.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.30 / $114.01 / $684.00	Professional	26	$76.30	$114.01	$684.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $177.92 / $296.58 / $1,600.96	Professional	TC	$177.92	$296.58	$1,600.96
United Facility/Professional Professional Modifier Low / Median / High Price $237.62 / $342.00 / $522.16	Professional		$237.62	$342.00	$522.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $98.48 / $147.97	Professional	26	$74.20	$98.48	$147.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.46 / $240.71 / $367.98	Professional	TC	$167.46	$240.71	$367.98