Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.21 / $110.21 / $177.70	Facility	26	$110.21	$110.21	$177.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.94 / $475.00 / $598.50	Professional		$347.94	$475.00	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.76 / $140.00 / $298.89	Professional	26	$100.76	$140.00	$298.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.24 / $335.00 / $414.28	Professional	TC	$230.24	$335.00	$414.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.31 / $830.91 / $871.38	Professional		$673.31	$830.91	$871.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $204.49 / $252.35 / $263.76	Professional	26	$204.49	$252.35	$263.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $468.81 / $578.54 / $606.73	Professional	TC	$468.81	$578.54	$606.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.65 / $763.24 / $1,449.76	Professional		$492.65	$763.24	$1,449.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.81 / $193.48 / $267.51	Professional	26	$110.81	$193.48	$267.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $353.81 / $560.36 / $1,243.47	Professional	TC	$353.81	$560.36	$1,243.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $973.04 / $973.04 / $973.04	Facility	26	$973.04	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.94 / $957.07 / $6,025.38	Professional		$475.94	$957.07	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $227.62 / $891.52	Professional	26	$111.88	$227.62	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $341.68 / $718.07 / $5,457.89	Professional	TC	$341.68	$718.07	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $415.03 / $843.54 / $1,289.02	Professional		$415.03	$843.54	$1,289.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $201.39 / $274.91	Professional	26	$111.88	$201.39	$274.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $291.99 / $596.72 / $925.41	Professional	TC	$291.99	$596.72	$925.41