Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.29 / $54.29 / $124.65	Facility	26	$54.29	$54.29	$124.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.92 / $352.79 / $661.59	Professional		$320.92	$352.79	$661.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.29 / $70.56 / $112.43	Professional	26	$54.29	$70.56	$112.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.63 / $282.23 / $549.13	Professional	TC	$266.63	$282.23	$549.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.81 / $902.74 / $993.06	Professional		$750.81	$902.74	$993.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $139.61 / $167.86 / $184.05	Professional	26	$139.61	$167.86	$184.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $611.20 / $734.88 / $809.04	Professional	TC	$611.20	$734.88	$809.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.77 / $751.10 / $920.70	Professional		$512.77	$751.10	$920.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.55 / $135.76 / $184.10	Professional	26	$91.55	$135.76	$184.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $419.18 / $615.34 / $752.43	Professional	TC	$419.18	$615.34	$752.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.50 / $818.27 / $2,692.02	Professional		$460.50	$818.27	$2,692.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $84.81 / $146.49 / $462.06	Professional	26	$84.81	$146.49	$462.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $381.82 / $688.90 / $2,230.02	Professional	TC	$381.82	$688.90	$2,230.02
United Facility/Professional Professional Modifier Low / Median / High Price $460.50 / $808.69 / $1,024.28	Professional		$460.50	$808.69	$1,024.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.81 / $141.34 / $193.47	Professional	26	$84.81	$141.34	$193.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $388.93 / $651.63 / $961.53	Professional	TC	$388.93	$651.63	$961.53