Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.11 / $87.11 / $139.22	Facility	26	$87.11	$87.11	$139.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $313.38 / $475.00	Professional		$262.99	$313.38	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.03 / $87.11 / $154.00	Professional	26	$79.03	$87.11	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.96 / $226.27 / $335.00	Professional	TC	$183.96	$226.27	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.20 / $662.94 / $695.23	Professional		$537.20	$662.94	$695.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $159.78 / $197.18 / $206.10	Professional	26	$159.78	$197.18	$206.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $377.42 / $465.76 / $488.45	Professional	TC	$377.42	$465.76	$488.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.34 / $626.79 / $986.30	Professional		$393.34	$626.79	$986.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.38 / $150.91 / $208.68	Professional	26	$86.38	$150.91	$208.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $284.76 / $448.90 / $830.66	Professional	TC	$284.76	$448.90	$830.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $764.32 / $764.32 / $764.32	Facility	26	$764.32	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.50 / $777.39 / $3,389.77	Professional		$378.50	$777.39	$3,389.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.14 / $166.02 / $657.14	Professional	26	$87.14	$166.02	$657.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $275.20 / $571.30 / $2,953.83	Professional	TC	$275.20	$571.30	$2,953.83
United Facility/Professional Professional Modifier Low / Median / High Price $352.12 / $627.45 / $828.00	Professional		$352.12	$627.45	$828.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.78 / $160.44 / $217.08	Professional	26	$88.78	$160.44	$217.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.07 / $496.94 / $960.38	Professional	TC	$234.07	$496.94	$960.38