Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $56.23 / $93.33	Facility	26	$39.81	$56.23	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $436.52	Professional		$147.91	$218.78	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $147.91	Professional	26	$45.71	$61.66	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $181.97 / $354.81	Professional	TC	$131.83	$181.97	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $524.81	Professional		$354.81	$467.74	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $141.25	Professional	26	$95.50	$125.89	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $380.19	Professional	TC	$257.04	$346.74	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $549.54	Professional		$239.88	$346.74	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $81.28 / $141.25	Professional	26	$46.77	$81.28	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $263.03 / $407.38	Professional	TC	$173.78	$263.03	$407.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $1,621.81	Professional		$223.87	$407.38	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $107.15 / $346.74	Professional	26	$56.23	$107.15	$346.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $302.00 / $1,318.26	Professional	TC	$165.96	$302.00	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $537.03	Professional		$223.87	$380.19	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $97.72 / $147.91	Professional	26	$50.12	$97.72	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $281.84 / $398.11	Professional	TC	$165.96	$281.84	$398.11