Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.97 / $71.97 / $116.50	Facility	26	$71.97	$71.97	$116.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $214.53 / $320.80	Professional		$190.54	$214.53	$320.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $74.28 / $230.15	Professional	26	$71.81	$74.28	$230.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.17 / $142.30 / $216.62	Professional	TC	$118.17	$142.30	$216.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.67 / $443.85 / $465.47	Professional		$359.67	$443.85	$465.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.82 / $163.91 / $171.32	Professional	26	$132.82	$163.91	$171.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.85 / $279.95 / $293.58	Professional	TC	$226.85	$279.95	$293.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $384.00 / $583.35	Professional		$189.50	$384.00	$583.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.91 / $138.88 / $210.98	Professional	26	$83.91	$138.88	$210.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.31 / $245.12 / $372.37	Professional	TC	$113.31	$245.12	$372.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $414.69 / $1,677.02	Professional		$201.36	$414.69	$1,677.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $134.60 / $718.23	Professional	26	$78.84	$134.60	$718.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $126.54 / $273.17 / $985.97	Professional	TC	$126.54	$273.17	$985.97
United Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $352.48 / $484.81	Professional		$193.44	$352.48	$484.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.90 / $128.03 / $172.34	Professional	26	$72.90	$128.03	$172.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.54 / $239.72 / $332.29	Professional	TC	$120.54	$239.72	$332.29