Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.78 / $78.48 / $135.34	Facility	26	$69.78	$78.48	$135.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $151.24 / $260.83	Professional		$110.39	$151.24	$260.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $66.15 / $135.34	Professional	26	$57.28	$66.15	$135.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.11 / $72.76 / $125.49	Professional	TC	$53.11	$72.76	$125.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $219.00 / $219.00	Professional		$219.00	$219.00	$219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $200.25 / $320.00	Professional		$113.31	$200.25	$320.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.84 / $87.08 / $123.38	Professional	26	$57.84	$87.08	$123.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.09 / $99.11 / $204.00	Professional	TC	$56.09	$99.11	$204.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $139.35 / $139.35 / $352.88	Facility	26	$139.35	$139.35	$352.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $212.85 / $1,060.27	Professional		$124.87	$212.85	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $85.19 / $369.36	Professional	26	$63.16	$85.19	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $133.53 / $707.89	Professional	TC	$61.71	$133.53	$707.89
United Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $192.40 / $299.99	Professional		$124.87	$192.40	$299.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $78.08 / $114.14	Professional	26	$63.16	$78.08	$114.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $95.99 / $149.90	Professional	TC	$61.71	$95.99	$149.90