Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.93 / $40.93 / $68.17	Facility	26	$40.93	$40.93	$68.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $103.54 / $124.77	Professional		$87.95	$103.54	$124.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.31 / $65.06 / $88.89	Professional	TC	$54.31	$65.06	$88.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.04 / $262.91 / $275.70	Professional		$213.04	$262.91	$275.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.79 / $166.34 / $174.45	Professional	TC	$134.79	$166.34	$174.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $206.81 / $316.10	Professional		$108.63	$206.81	$316.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.12 / $132.58 / $220.37	Professional	TC	$60.12	$132.58	$220.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.13 / $180.13 / $180.13	Facility	26	$180.13	$180.13	$180.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $191.09 / $1,114.04	Professional		$103.16	$191.09	$1,114.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.33 / $115.75 / $909.46	Professional	TC	$61.33	$115.75	$909.46
United Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $185.38 / $303.62	Professional		$101.96	$185.38	$303.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.38 / $107.23 / $193.24	Professional	TC	$61.38	$107.23	$193.24