Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.48 / $48.48 / $100.78	Facility	26	$48.48	$48.48	$100.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.05 / $248.57 / $389.06	Professional		$164.05	$248.57	$389.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.48 / $60.32 / $100.34	Professional	26	$48.48	$60.32	$100.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.57 / $174.19 / $326.12	Professional	TC	$115.57	$174.19	$326.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.55 / $484.42 / $508.02	Professional		$392.55	$484.42	$508.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $115.72 / $142.81 / $149.27	Professional	26	$115.72	$142.81	$149.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $276.81 / $341.61 / $358.25	Professional	TC	$276.81	$341.61	$358.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.54 / $67.54 / $67.54	Facility	26	$67.54	$67.54	$67.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $425.41 / $680.25	Professional		$287.52	$425.41	$680.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.59 / $109.75 / $160.18	Professional	26	$62.59	$109.75	$160.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.89 / $328.73 / $552.26	Professional	TC	$208.89	$328.73	$552.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $553.04 / $553.04 / $553.04	Facility	26	$553.04	$553.04	$553.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $526.36 / $2,319.03	Professional		$282.80	$526.36	$2,319.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.63 / $131.86 / $543.21	Professional	26	$69.63	$131.86	$543.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $198.36 / $373.73 / $1,973.17	Professional	TC	$198.36	$373.73	$1,973.17
United Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $433.03 / $591.52	Professional		$241.27	$433.03	$591.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.90 / $127.67 / $172.73	Professional	26	$69.90	$127.67	$172.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.37 / $334.56 / $578.54	Professional	TC	$171.37	$334.56	$578.54