Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.13 / $117.13 / $117.13	Facility	26	$117.13	$117.13	$117.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.56 / $404.56 / $419.64	Professional		$404.56	$404.56	$419.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.12 / $117.13 / $133.25	Professional	26	$117.12	$117.13	$133.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.19 / $287.43 / $292.33	Professional	TC	$272.19	$287.43	$292.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $345.80 / $474.83	Professional		$105.57	$345.80	$474.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.23 / $423.90 / $494.84	Professional		$309.23	$423.90	$494.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.97 / $141.93 / $166.84	Professional	26	$106.97	$141.93	$166.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.11 / $278.97 / $316.60	Professional	TC	$194.11	$278.97	$316.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $265.11 / $463.23 / $463.23	Facility	26	$265.11	$463.23	$463.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.76 / $425.06 / $2,698.08	Professional		$304.76	$425.06	$2,698.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.65 / $141.69 / $770.56	Professional	26	$92.65	$141.69	$770.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $200.94 / $277.10 / $1,927.52	Professional	TC	$200.94	$277.10	$1,927.52
United Facility/Professional Professional Modifier Low / Median / High Price $288.72 / $371.73 / $634.46	Professional		$288.72	$371.73	$634.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.95 / $124.74 / $191.60	Professional	26	$88.95	$124.74	$191.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.94 / $251.91 / $442.86	Professional	TC	$200.94	$251.91	$442.86