Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $117.29 / $196.54	Professional		$81.34	$117.29	$196.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $30.52 / $63.35	Professional	26	$23.62	$30.52	$63.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.72 / $86.77 / $133.18	Professional	TC	$57.72	$86.77	$133.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $325.19 / $332.46	Professional		$296.70	$325.19	$332.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.93 / $81.93 / $83.97	Professional	26	$74.93	$81.93	$83.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $221.77 / $243.26 / $248.50	Professional	TC	$221.77	$243.26	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $173.45 / $216.81	Professional		$173.45	$173.45	$216.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.14 / $43.14 / $53.93	Professional	26	$43.14	$43.14	$53.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.30 / $130.30 / $162.88	Professional	TC	$130.30	$130.30	$162.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $242.47 / $730.19	Professional		$139.88	$242.47	$730.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $70.56 / $200.25	Professional	26	$40.70	$70.56	$200.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $99.18 / $171.91 / $531.07	Professional	TC	$99.18	$171.91	$531.07
United Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $139.88 / $256.64	Professional		$118.90	$139.88	$256.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.60 / $34.60 / $74.00	Professional	26	$34.60	$34.60	$74.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.30 / $171.91 / $182.65	Professional	TC	$84.30	$171.91	$182.65