Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $86.93 / $244.16	Professional		$68.70	$86.93	$244.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $18.98 / $56.96	Professional	26	$16.04	$18.98	$56.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.67 / $67.94 / $187.20	Professional	TC	$52.67	$67.94	$187.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $217.96 / $224.68	Professional		$194.52	$217.96	$224.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.90 / $49.19 / $49.84	Professional	26	$43.90	$49.19	$49.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $150.62 / $168.78 / $174.84	Professional	TC	$150.62	$168.78	$174.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $113.31 / $141.63	Professional		$113.31	$113.31	$141.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.84 / $24.84 / $31.05	Professional	26	$24.84	$24.84	$31.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.47 / $88.47 / $110.58	Professional	TC	$88.47	$88.47	$110.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $216.90 / $626.79	Professional		$118.22	$216.90	$626.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $50.24 / $171.71	Professional	26	$27.72	$50.24	$171.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.50 / $166.66 / $496.32	Professional	TC	$90.50	$166.66	$496.32
United Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $216.90 / $241.97	Professional		$100.49	$216.90	$241.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.56 / $48.05 / $50.24	Professional	26	$23.56	$48.05	$50.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.93 / $156.87 / $166.66	Professional	TC	$76.93	$156.87	$166.66