Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.03 / $64.03 / $102.51	Facility	26	$64.03	$64.03	$102.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $101.60 / $151.28	Professional		$93.18	$101.60	$151.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.28 / $66.06 / $137.94	Professional	26	$62.28	$66.06	$137.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $36.26 / $97.71	Professional	TC	$30.51	$36.26	$97.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $241.35 / $265.22	Professional		$200.73	$241.35	$265.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.52 / $137.69 / $150.96	Professional	26	$114.52	$137.69	$150.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.21 / $103.66 / $115.71	Professional	TC	$86.21	$103.66	$115.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $221.03 / $350.71	Professional		$157.37	$221.03	$350.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.77 / $131.66 / $197.84	Professional	26	$88.77	$131.66	$197.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.59 / $96.29 / $152.87	Professional	TC	$68.59	$96.29	$152.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $140.60 / $140.60 / $284.70	Facility	26	$140.60	$140.60	$284.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $170.69 / $865.60	Professional		$99.99	$170.69	$865.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $119.11 / $382.35	Professional	26	$64.95	$119.11	$382.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.22 / $51.58 / $307.58	Professional	TC	$30.22	$51.58	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $170.69 / $216.48	Professional		$101.41	$170.69	$216.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.94 / $114.98 / $142.91	Professional	26	$68.94	$114.98	$142.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.22 / $54.94 / $85.27	Professional	TC	$30.22	$54.94	$85.27