Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.82 / $31.82 / $71.91	Facility	26	$31.82	$31.82	$71.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $164.74 / $207.37	Professional		$128.32	$164.74	$207.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.82 / $49.68 / $203.81	Professional	26	$31.82	$49.68	$203.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.50 / $112.25 / $280.11	Professional	TC	$96.50	$112.25	$280.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.23 / $403.80 / $444.20	Professional		$343.23	$403.80	$444.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.54 / $95.92 / $105.16	Professional	26	$81.54	$95.92	$105.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.69 / $307.87 / $338.67	Professional	TC	$261.69	$307.87	$338.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.41 / $231.41 / $375.95	Professional		$231.41	$231.41	$375.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.04 / $54.04 / $87.79	Professional	26	$54.04	$54.04	$87.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.37 / $177.37 / $288.16	Professional	TC	$177.37	$177.37	$288.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $336.70 / $1,140.80	Professional		$143.44	$336.70	$1,140.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.78 / $86.32 / $326.98	Professional	26	$36.78	$86.32	$326.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.50 / $250.38 / $871.18	Professional	TC	$93.50	$250.38	$871.18
United Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $202.62 / $405.02	Professional		$106.25	$202.62	$405.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.77 / $48.13 / $99.71	Professional	26	$24.77	$48.13	$99.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.48 / $154.49 / $305.31	Professional	TC	$81.48	$154.49	$305.31