Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $128.82 / $213.80	Facility	26	$123.03	$128.82	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $912.01	Professional		$380.19	$478.63	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $208.93 / $436.52	Professional	26	$123.03	$208.93	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $602.56	Professional	TC	$257.04	$338.84	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $933.25	Professional		$645.65	$851.14	$933.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $281.84 / $309.03	Professional	26	$213.80	$281.84	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $562.34 / $630.96	Professional	TC	$426.58	$562.34	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,096.48	Professional		$457.09	$707.95	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $181.97 / $316.23	Professional	26	$104.71	$181.97	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $478.63 / $741.31	Professional	TC	$275.42	$478.63	$741.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	26	$1,148.15	$1,148.15	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $3,890.45	Professional		$426.58	$776.25	$3,890.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $234.42 / $776.25	Professional	26	$123.03	$234.42	$776.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $537.03 / $3,311.31	Professional	TC	$295.12	$537.03	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $1,023.29	Professional		$426.58	$741.31	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $213.80 / $323.59	Professional	26	$112.20	$213.80	$323.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $512.86 / $758.58	Professional	TC	$295.12	$512.86	$758.58