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 $114.82 / $177.83 / $338.84	Professional		$114.82	$177.83	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $154.88	Professional	26	$50.12	$83.18	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $154.88 / $346.74	Professional	TC	$107.15	$154.88	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $436.52	Professional		$295.12	$389.05	$436.52
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 $199.53 / $269.15 / $295.12	Professional	TC	$199.53	$269.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $512.86	Professional		$213.80	$323.59	$512.86
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 $144.54 / $223.87 / $371.54	Professional	TC	$144.54	$223.87	$371.54
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 $194.98 / $389.05 / $1,621.81	Professional		$194.98	$389.05	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $107.15 / $380.19	Professional	26	$56.23	$107.15	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $288.40 / $1,348.96	Professional	TC	$138.04	$288.40	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $478.63	Professional		$194.98	$346.74	$478.63
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 $138.04 / $251.19 / $338.84	Professional	TC	$138.04	$251.19	$338.84