Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.61 / $115.61 / $186.16	Facility	26	$115.61	$115.61	$186.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $401.43 / $623.82	Professional		$313.02	$401.43	$623.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.65 / $140.00 / $323.07	Professional	26	$104.65	$140.00	$323.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $219.09 / $285.82 / $433.98	Professional	TC	$219.09	$285.82	$433.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.48 / $844.70 / $885.84	Professional		$684.48	$844.70	$885.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $214.35 / $264.52 / $276.49	Professional	26	$214.35	$264.52	$276.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $470.13 / $580.16 / $608.44	Professional	TC	$470.13	$580.16	$608.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.62 / $124.62 / $124.62	Facility	26	$124.62	$124.62	$124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.62 / $666.09 / $916.78	Professional		$444.62	$666.09	$916.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.02 / $183.66 / $280.17	Professional	26	$109.02	$183.66	$280.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $313.26 / $463.73 / $648.47	Professional	TC	$313.26	$463.73	$648.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,020.08 / $1,020.08 / $1,020.08	Facility	26	$1,020.08	$1,020.08	$1,020.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $1,009.93 / $2,337.81	Professional		$470.69	$1,009.93	$2,337.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $206.62 / $687.65	Professional	26	$100.00	$206.62	$687.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $343.43 / $797.71 / $1,650.16	Professional	TC	$343.43	$797.71	$1,650.16
United Facility/Professional Professional Modifier Low / Median / High Price $403.84 / $802.86 / $1,261.11	Professional		$403.84	$802.86	$1,261.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.12 / $170.66 / $272.25	Professional	26	$94.12	$170.66	$272.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $293.20 / $631.29 / $961.58	Professional	TC	$293.20	$631.29	$961.58