Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $60.26 / $97.72	Facility	26	$57.54	$60.26	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $676.08	Professional		$218.78	$398.11	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $120.23 / $194.98	Professional	26	$54.95	$120.23	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $281.84 / $501.19	Professional	TC	$162.18	$281.84	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $562.34	Professional		$398.11	$512.86	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $144.54	Professional	26	$102.33	$128.82	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $380.19 / $416.87	Professional	TC	$295.12	$380.19	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $724.44	Professional		$275.42	$416.87	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $144.54	Professional	26	$52.48	$85.11	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $316.23 / $645.65	Professional	TC	$204.17	$316.23	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $616.60 / $2,951.21	Professional		$251.19	$616.60	$2,951.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $112.20 / $501.19	Professional	26	$58.88	$112.20	$501.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $537.03 / $2,630.27	Professional	TC	$186.21	$537.03	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $794.33	Professional		$251.19	$501.19	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $102.33 / $151.36	Professional	26	$52.48	$102.33	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $416.87 / $676.08	Professional	TC	$186.21	$416.87	$676.08