Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $50.12 / $81.28	Facility	26	$47.86	$50.12	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $489.78	Professional		$131.83	$173.78	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $128.82	Professional	26	$41.69	$56.23	$128.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $128.82 / $478.63	Professional	TC	$93.33	$128.82	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $407.38	Professional		$275.42	$371.54	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $120.23	Professional	26	$81.28	$107.15	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $257.04 / $288.40	Professional	TC	$194.98	$257.04	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $416.87	Professional		$147.91	$245.47	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $70.79 / $120.23	Professional	26	$43.65	$70.79	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $173.78 / $295.12	Professional	TC	$104.71	$173.78	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $1,023.29	Professional		$169.82	$309.03	$1,023.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $93.33 / $302.00	Professional	26	$51.29	$93.33	$302.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $218.78 / $724.44	Professional	TC	$120.23	$218.78	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $416.87	Professional		$169.82	$281.84	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $128.82	Professional	26	$51.29	$83.18	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $199.53 / $288.40	Professional	TC	$120.23	$199.53	$288.40