Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $104.71 / $177.83	Facility	26	$75.86	$104.71	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $831.76	Professional		$309.03	$467.74	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $112.20 / $309.03	Professional	26	$91.20	$112.20	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $660.69	Professional	TC	$223.87	$338.84	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,000.00	Professional		$676.08	$891.25	$1,000.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $239.88 / $263.03	Professional	26	$181.97	$239.88	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $645.65 / $724.44	Professional	TC	$489.78	$645.65	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,047.13	Professional		$426.58	$691.83	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $154.88 / $269.15	Professional	26	$89.13	$154.88	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $537.03 / $794.33	Professional	TC	$302.00	$537.03	$794.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	26	$977.24	$977.24	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $2,570.40	Professional		$407.38	$707.95	$2,570.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $199.53 / $660.69	Professional	26	$112.20	$199.53	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $524.81 / $2,041.74	Professional	TC	$302.00	$524.81	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,071.52	Professional		$407.38	$676.08	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $181.97 / $275.42	Professional	26	$100.00	$181.97	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $512.86 / $776.25	Professional	TC	$302.00	$512.86	$776.25