Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.50 / $24.50 / $38.77	Facility	26	$24.50	$24.50	$38.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $180.90 / $271.70	Professional		$116.41	$180.90	$271.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $23.51 / $27.08	Professional	26	$18.76	$23.51	$27.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.69 / $162.12 / $246.17	Professional	TC	$92.69	$162.12	$246.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.97 / $298.60 / $313.14	Professional		$241.97	$298.60	$313.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.37 / $55.99 / $58.72	Professional	26	$45.37	$55.99	$58.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $196.60 / $242.62 / $254.43	Professional	TC	$196.60	$242.62	$254.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.24 / $242.45 / $393.59	Professional		$142.24	$242.45	$393.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $43.31 / $69.62	Professional	26	$22.58	$43.31	$69.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.78 / $200.16 / $337.44	Professional	TC	$119.78	$200.16	$337.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $246.41 / $1,035.17	Professional		$142.66	$246.41	$1,035.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $46.14 / $303.79	Professional	26	$25.98	$46.14	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $115.49 / $199.48 / $922.24	Professional	TC	$115.49	$199.48	$922.24
United Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $237.59 / $318.51	Professional		$142.66	$237.59	$318.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $44.46 / $57.42	Professional	26	$25.98	$44.46	$57.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.39 / $186.54 / $252.04	Professional	TC	$105.39	$186.54	$252.04