Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $52.48 / $87.10	Facility	26	$38.02	$52.48	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $380.19	Professional		$114.82	$169.82	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $57.54 / $141.25	Professional	26	$46.77	$57.54	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $112.20 / $288.40	Professional	TC	$74.13	$112.20	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $346.74	Professional		$234.42	$316.23	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $117.49 / $131.83	Professional	26	$89.13	$117.49	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $194.98 / $213.80	Professional	TC	$147.91	$194.98	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $426.58	Professional		$158.49	$257.04	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $131.83	Professional	26	$44.67	$75.86	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $162.18 / $281.84	Professional	TC	$95.50	$162.18	$281.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	26	$478.63	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $1,584.89	Professional		$147.91	$275.42	$1,584.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $102.33 / $323.59	Professional	26	$53.70	$102.33	$323.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $173.78 / $1,318.26	Professional	TC	$91.20	$173.78	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $354.81	Professional		$147.91	$257.04	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $91.20 / $138.04	Professional	26	$46.77	$91.20	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $165.96 / $257.04	Professional	TC	$91.20	$165.96	$257.04