Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.99 / $89.99 / $144.47	Facility	26	$89.99	$89.99	$144.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.70 / $475.00 / $556.29	Professional		$343.70	$475.00	$556.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.72 / $130.68 / $154.00	Professional	26	$86.72	$130.68	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $255.30 / $303.37 / $407.60	Professional	TC	$255.30	$303.37	$407.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.07 / $821.98 / $862.01	Professional		$666.07	$821.98	$862.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.70 / $204.48 / $213.72	Professional	26	$165.70	$204.48	$213.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $500.38 / $617.49 / $647.58	Professional	TC	$500.38	$617.49	$647.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.95 / $96.95 / $96.95	Facility	26	$96.95	$96.95	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.07 / $650.23 / $993.87	Professional		$490.07	$650.23	$993.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.58 / $157.33 / $216.54	Professional	26	$89.58	$157.33	$216.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $377.53 / $504.72 / $753.40	Professional	TC	$377.53	$504.72	$753.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $793.04 / $793.04 / $793.04	Facility	26	$793.04	$793.04	$793.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.76 / $775.80 / $3,032.66	Professional		$441.76	$775.80	$3,032.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.52 / $171.10 / $854.80	Professional	26	$91.52	$171.10	$854.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $342.70 / $595.82 / $2,562.41	Professional	TC	$342.70	$595.82	$2,562.41
United Facility/Professional Professional Modifier Low / Median / High Price $411.43 / $716.67 / $1,202.40	Professional		$411.43	$716.67	$1,202.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.52 / $165.08 / $224.29	Professional	26	$91.52	$165.08	$224.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $311.17 / $536.22 / $752.12	Professional	TC	$311.17	$536.22	$752.12