Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.69 / $44.69 / $101.95	Facility	26	$44.69	$44.69	$101.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $201.49 / $430.29	Professional		$143.84	$201.49	$430.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $60.98 / $93.15	Professional	26	$44.69	$60.98	$93.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.15 / $140.01 / $359.11	Professional	TC	$99.15	$140.01	$359.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.22 / $454.40 / $476.54	Professional		$368.22	$454.40	$476.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.04 / $144.43 / $150.96	Professional	26	$117.04	$144.43	$150.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.17 / $309.97 / $325.06	Professional	TC	$251.17	$309.97	$325.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $394.65 / $612.00	Professional		$269.01	$394.65	$612.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.31 / $111.02 / $155.19	Professional	26	$63.31	$111.02	$155.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.51 / $282.50 / $448.23	Professional	TC	$189.51	$282.50	$448.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.36 / $411.56 / $2,075.08	Professional		$226.36	$411.56	$2,075.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $121.26 / $460.66	Professional	26	$64.95	$121.26	$460.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $156.16 / $283.27 / $1,685.33	Professional	TC	$156.16	$283.27	$1,685.33
United Facility/Professional Professional Modifier Low / Median / High Price $226.36 / $386.40 / $613.71	Professional		$226.36	$386.40	$613.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $116.82 / $164.26	Professional	26	$64.95	$116.82	$164.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.83 / $266.56 / $362.87	Professional	TC	$141.83	$266.56	$362.87