Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.22 / $97.64 / $474.87	Facility	26	$83.22	$97.64	$474.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $277.33 / $414.95	Professional		$171.00	$277.33	$414.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $90.18 / $114.21	Professional	26	$51.30	$90.18	$114.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $187.16 / $309.93	Professional	TC	$119.70	$187.16	$309.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $303.45 / $416.68	Professional		$85.40	$303.45	$416.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.54 / $83.54 / $133.76	Facility	26	$83.54	$83.54	$133.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $395.15 / $603.12	Professional		$259.56	$395.15	$603.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.68 / $84.42 / $140.18	Professional	26	$74.68	$84.42	$140.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.09 / $283.50 / $475.85	Professional	TC	$182.09	$283.50	$475.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $792.40 / $792.40	Facility	26	$618.08	$792.40	$792.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.24 / $416.17 / $3,081.89	Professional		$281.24	$416.17	$3,081.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.08 / $96.83 / $554.78	Professional	26	$74.08	$96.83	$554.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $191.84 / $354.03 / $2,625.91	Professional	TC	$191.84	$354.03	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $276.87 / $356.65 / $622.61	Professional		$276.87	$356.65	$622.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.08 / $91.67 / $138.00	Professional	26	$74.08	$91.67	$138.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.84 / $259.62 / $463.78	Professional	TC	$191.84	$259.62	$463.78