Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.98 / $58.98 / $94.36	Facility	26	$58.98	$58.98	$94.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $91.99 / $129.06	Professional		$83.62	$91.99	$129.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.40 / $60.83 / $85.54	Professional	26	$56.40	$60.83	$85.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $29.58 / $49.12	Professional	TC	$26.89	$29.58	$49.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $223.55 / $245.79	Professional		$185.93	$223.55	$245.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.51 / $126.86 / $139.09	Professional	26	$105.51	$126.86	$139.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.42 / $96.70 / $108.11	Professional	TC	$80.42	$96.70	$108.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.77 / $204.61 / $324.86	Professional		$145.77	$204.61	$324.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.70 / $121.20 / $182.10	Professional	26	$81.70	$121.20	$182.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.06 / $89.92 / $142.76	Professional	TC	$64.06	$89.92	$142.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $129.41 / $129.41 / $248.27	Facility	26	$129.41	$129.41	$248.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $154.13 / $746.58	Professional		$90.30	$154.13	$746.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.91 / $109.30 / $352.29	Professional	26	$59.91	$109.30	$352.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $44.84 / $288.04	Professional	TC	$26.27	$44.84	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $154.13 / $206.42	Professional		$90.30	$154.13	$206.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.49 / $104.78 / $127.30	Professional	26	$63.49	$104.78	$127.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $49.85 / $74.62	Professional	TC	$20.30	$49.85	$74.62