Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $42.82	Facility	26	$26.70	$26.70	$42.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $118.66 / $134.30	Professional		$82.81	$118.66	$134.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $25.71 / $98.79	Professional	26	$22.87	$25.71	$98.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $94.32 / $108.59	Professional	TC	$59.92	$94.32	$108.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $296.17 / $310.60	Professional		$240.00	$296.17	$310.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.25 / $58.02 / $63.61	Professional	26	$48.25	$58.02	$63.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.68 / $235.31 / $247.85	Professional	TC	$190.68	$235.31	$247.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	26	$28.92	$28.92	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $187.27 / $312.92	Professional		$86.54	$187.27	$312.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $46.31 / $63.74	Professional	26	$25.66	$46.31	$63.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.34 / $150.22 / $247.59	Professional	TC	$68.34	$150.22	$247.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $241.76 / $841.81	Professional		$124.80	$241.76	$841.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $53.58 / $205.77	Professional	26	$27.07	$53.58	$205.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $99.08 / $188.40 / $680.78	Professional	TC	$99.08	$188.40	$680.78
United Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $237.24 / $295.51	Professional		$128.90	$237.24	$295.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.19 / $48.84 / $66.62	Professional	26	$27.19	$48.84	$66.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.08 / $183.17 / $232.00	Professional	TC	$99.08	$183.17	$232.00