Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $251.19	Professional		$57.54	$77.62	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $223.87	Professional	26	$43.65	$60.26	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $93.33	Professional	TC	$18.20	$25.70	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $234.42	Professional		$208.93	$234.42	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $151.36 / $154.88	Professional	26	$134.90	$151.36	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $81.28 / $81.28	Professional	TC	$70.79	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Professional		$120.23	$120.23	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $97.72	Professional	26	$77.62	$77.62	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $41.69 / $51.29	Professional	TC	$41.69	$41.69	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $588.84	Professional		$190.55	$199.53	$588.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $141.25 / $380.19	Professional	26	$120.23	$141.25	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $58.88 / $204.17	Professional	TC	$54.95	$58.88	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $239.88	Professional		$91.20	$190.55	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $123.03 / $158.49	Professional	26	$64.57	$123.03	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $54.95 / $83.18	Professional	TC	$26.92	$54.95	$83.18