Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.22 / $61.23 / $140.40	Facility	26	$61.22	$61.23	$140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $197.96 / $442.03	Professional		$140.93	$197.96	$442.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $84.28 / $226.95	Professional	26	$72.87	$84.28	$226.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.70 / $120.64 / $410.91	Professional	TC	$79.70	$120.64	$410.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.56 / $453.59 / $475.54	Professional		$367.56	$453.59	$475.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $161.09 / $198.80 / $207.79	Professional	26	$161.09	$198.80	$207.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.46 / $254.79 / $267.20	Professional	TC	$206.46	$254.79	$267.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.15 / $94.15 / $94.15	Facility	26	$94.15	$94.15	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $355.88 / $491.30	Professional		$249.00	$355.88	$491.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.07 / $144.02 / $213.79	Professional	26	$87.07	$144.02	$213.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.22 / $203.00 / $279.39	Professional	TC	$146.22	$203.00	$279.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $770.72 / $770.72 / $770.72	Facility	26	$770.72	$770.72	$770.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $383.91 / $1,217.23	Professional		$203.18	$383.91	$1,217.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $96.52 / $174.94 / $521.24	Professional	26	$96.52	$174.94	$521.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $217.20 / $1,308.00	Professional	TC	$114.04	$217.20	$1,308.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.27 / $371.67 / $505.46	Professional		$222.27	$371.67	$505.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.14 / $161.12 / $224.15	Professional	26	$89.14	$161.12	$224.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $205.78 / $298.33	Professional	TC	$114.04	$205.78	$298.33