Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.40 / $865.14 / $1,001.34	Facility		$422.40	$865.14	$1,001.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.97 / $23.97 / $37.89	Facility	26	$23.97	$23.97	$37.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $127.43 / $189.44	Professional		$113.82	$127.43	$189.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $23.86 / $62.30	Professional	26	$18.44	$23.86	$62.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.16 / $111.87 / $206.11	Professional	TC	$97.16	$111.87	$206.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.45 / $344.86 / $361.66	Professional		$279.45	$344.86	$361.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.05 / $54.37 / $57.01	Professional	26	$44.05	$54.37	$57.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.39 / $290.49 / $304.64	Professional	TC	$235.39	$290.49	$304.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $147.30 / $147.30	Facility		$147.30	$147.30	$147.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.35 / $26.35 / $26.35	Facility	26	$26.35	$26.35	$26.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.01 / $280.35 / $453.92	Professional		$157.01	$280.35	$453.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $44.44 / $67.51	Professional	26	$22.34	$44.44	$67.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $238.53 / $389.33	Professional	TC	$136.41	$238.53	$389.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.84 / $207.66 / $355.65	Facility		$135.84	$207.66	$355.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $287.63 / $1,223.39	Professional		$155.32	$287.63	$1,223.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $44.97 / $237.75	Professional	26	$24.90	$44.97	$237.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $140.93 / $245.53 / $1,114.63	Professional	TC	$140.93	$245.53	$1,114.63
United Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $270.85 / $363.16	Professional		$153.02	$270.85	$363.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $43.97 / $56.50	Professional	26	$24.90	$43.97	$56.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.12 / $226.57 / $306.66	Professional	TC	$128.12	$226.57	$306.66