Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.89 / $54.89 / $54.89	Facility	26	$54.89	$54.89	$54.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $400.64 / $461.65	Professional		$311.14	$400.64	$461.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.43 / $63.59 / $67.98	Professional	26	$45.43	$63.59	$67.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.70 / $335.94 / $393.67	Professional	TC	$265.70	$335.94	$393.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $451.85 / $620.45	Professional		$84.91	$451.85	$620.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.64 / $433.15 / $729.52	Professional		$364.64	$433.15	$729.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.98 / $67.75 / $114.11	Professional	26	$59.98	$67.75	$114.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.80 / $365.40 / $614.54	Professional	TC	$309.80	$365.40	$614.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.18 / $301.25 / $301.25	Facility	26	$160.18	$301.25	$301.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.17 / $501.55 / $996.78	Professional		$409.17	$501.55	$996.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.90 / $73.04 / $164.95	Professional	26	$58.90	$73.04	$164.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $347.32 / $409.76 / $939.48	Professional	TC	$347.32	$409.76	$939.48
United Facility/Professional Professional Modifier Low / Median / High Price $406.22 / $457.00 / $761.67	Professional		$406.22	$457.00	$761.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.90 / $71.08 / $140.84	Professional	26	$58.90	$71.08	$140.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $347.32 / $387.48 / $789.75	Professional	TC	$347.32	$387.48	$789.75