Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $137.69 / $331.20	Professional		$81.97	$137.69	$331.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.40 / $81.12 / $213.30	Professional	26	$63.40	$81.12	$213.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $52.43 / $78.67	Professional	TC	$18.55	$52.43	$78.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $291.39 / $295.14	Professional		$263.39	$291.39	$295.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $195.28 / $216.23 / $218.82	Professional	26	$195.28	$216.23	$218.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.12 / $75.17 / $76.33	Professional	TC	$68.12	$75.17	$76.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $152.53 / $190.66	Professional		$152.53	$152.53	$190.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.87 / $112.87 / $141.09	Professional	26	$112.87	$112.87	$141.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.65 / $39.65 / $49.57	Professional	TC	$39.65	$39.65	$49.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $262.44 / $745.14	Professional		$141.18	$262.44	$745.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $172.75 / $181.91 / $538.00	Professional	26	$172.75	$181.91	$538.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $82.22 / $340.13	Professional	TC	$32.04	$82.22	$340.13
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $244.71 / $257.45	Professional		$120.00	$244.71	$257.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.77 / $189.18 / $226.25	Professional	26	$92.77	$189.18	$226.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $55.53 / $58.67	Professional	TC	$27.23	$55.53	$58.67