Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.93 / $65.25	Facility	26	$40.92	$40.93	$65.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $126.38 / $217.81	Professional		$85.14	$126.38	$217.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.92 / $39.04 / $106.20	Professional	26	$33.92	$39.04	$106.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.67 / $94.37 / $329.40	Professional	TC	$73.67	$94.37	$329.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.89 / $305.91 / $319.74	Professional		$247.89	$305.91	$319.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $92.50 / $96.68	Professional	26	$74.95	$92.50	$96.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.93 / $213.40 / $223.06	Professional	TC	$172.93	$213.40	$223.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.97 / $43.97 / $43.97	Facility	26	$43.97	$43.97	$43.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $229.64 / $337.10	Professional		$127.02	$229.64	$337.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.69 / $67.79 / $99.35	Professional	26	$35.69	$67.79	$99.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.48 / $158.72 / $237.74	Professional	TC	$87.48	$158.72	$237.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $254.54 / $810.58	Professional		$140.53	$254.54	$810.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.71 / $75.58 / $242.65	Professional	26	$43.71	$75.58	$242.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $99.04 / $179.66 / $567.92	Professional	TC	$99.04	$179.66	$567.92
United Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $241.15 / $340.18	Professional		$147.37	$241.15	$340.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $75.33 / $101.91	Professional	26	$44.17	$75.33	$101.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.45 / $170.91 / $238.27	Professional	TC	$104.45	$170.91	$238.27