Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $88.20 / $210.31	Professional		$64.03	$88.20	$210.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.47 / $60.57 / $154.34	Professional	26	$45.47	$60.57	$154.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $31.16 / $84.19	Professional	TC	$18.55	$31.16	$84.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $231.44 / $231.53	Professional		$206.63	$231.44	$231.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.49 / $150.34 / $151.82	Professional	26	$135.49	$150.34	$151.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.15 / $79.73 / $81.09	Professional	TC	$71.15	$79.73	$81.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $119.41 / $149.26	Professional		$119.41	$119.41	$149.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.01 / $78.01 / $97.51	Professional	26	$78.01	$78.01	$97.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.40 / $41.40 / $51.75	Professional	TC	$41.40	$41.40	$51.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $191.42 / $587.10	Professional		$110.44	$191.42	$587.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.39 / $135.87 / $381.48	Professional	26	$78.39	$135.87	$381.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $57.80 / $205.55	Professional	TC	$32.04	$57.80	$205.55
United Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $93.87 / $201.26	Professional		$65.76	$93.87	$201.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.63 / $135.87 / $142.59	Professional	26	$66.63	$135.87	$142.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.24 / $55.55 / $58.67	Professional	TC	$27.24	$55.55	$58.67