Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $140.35 / $637.71	Facility		$87.84	$140.35	$637.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.71 / $25.82 / $41.46	Facility	26	$21.71	$25.82	$41.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $88.93 / $124.07	Professional		$87.85	$88.93	$124.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.45 / $21.71 / $39.99	Professional	26	$21.45	$21.71	$39.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.40 / $67.20 / $83.99	Professional	TC	$66.40	$67.20	$83.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.51 / $241.08 / $349.21	Facility		$179.51	$241.08	$349.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $107.10 / $147.06	Professional		$31.91	$107.10	$147.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $84.76 / $117.56	Professional		$59.07	$84.76	$117.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.96 / $25.26 / $34.93	Professional	26	$21.96	$25.26	$34.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.00 / $61.42 / $83.12	Professional	TC	$35.00	$61.42	$83.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.85 / $93.38 / $242.65	Facility		$87.85	$93.38	$242.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.05 / $136.28 / $136.28	Facility	26	$62.05	$136.28	$136.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $110.32 / $752.82	Professional		$72.77	$110.32	$752.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $28.73 / $169.69	Professional	26	$24.23	$28.73	$169.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.75 / $77.48 / $583.14	Professional	TC	$47.75	$77.48	$583.14
United Facility/Professional Facility Modifier Low / Median / High Price $370.75 / $370.75 / $370.75	Facility		$370.75	$370.75	$370.75
United Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $99.06 / $140.99	Professional		$72.77	$99.06	$140.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.13 / $27.09 / $36.21	Professional	26	$23.13	$27.09	$36.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.75 / $73.40 / $106.75	Professional	TC	$47.75	$73.40	$106.75