Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.51 / $48.51 / $77.47	Facility	26	$48.51	$48.51	$77.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $228.16 / $233.46	Professional		$183.67	$228.16	$233.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.28 / $46.40 / $48.51	Professional	26	$39.28	$46.40	$48.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.38 / $184.94 / $185.40	Professional	TC	$144.38	$184.94	$185.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.24 / $478.83 / $526.74	Professional		$398.24	$478.83	$526.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.85 / $104.43 / $114.50	Professional	26	$86.85	$104.43	$114.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $311.39 / $374.41 / $411.87	Professional	TC	$311.39	$374.41	$411.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.04 / $397.12 / $541.99	Professional		$284.04	$397.12	$541.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.02 / $84.37 / $108.54	Professional	26	$57.02	$84.37	$108.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.03 / $312.75 / $437.34	Professional	TC	$227.03	$312.75	$437.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $466.92 / $1,481.01	Professional		$262.27	$466.92	$1,481.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.53 / $91.87 / $501.94	Professional	26	$50.53	$91.87	$501.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $209.09 / $361.17 / $1,231.75	Professional	TC	$209.09	$361.17	$1,231.75
United Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $396.89 / $545.78	Professional		$262.27	$396.89	$545.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $89.36 / $120.88	Professional	26	$53.19	$89.36	$120.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.12 / $342.16 / $466.80	Professional	TC	$198.12	$342.16	$466.80