Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.23 / $62.23 / $101.34	Facility	26	$62.23	$62.23	$101.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $191.59 / $279.91	Professional		$110.39	$191.59	$279.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.42 / $65.29 / $90.87	Professional	26	$57.42	$65.29	$90.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.11 / $119.93 / $190.84	Professional	TC	$53.11	$119.93	$190.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $284.00 / $296.85	Professional		$223.38	$284.00	$296.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $115.72 / $142.81 / $149.27	Professional	26	$115.72	$142.81	$149.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.41 / $141.19 / $147.82	Professional	TC	$114.41	$141.19	$147.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $243.73 / $388.34	Professional		$150.04	$243.73	$388.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $120.06 / $183.55	Professional	26	$62.94	$120.06	$183.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.95 / $132.41 / $195.83	Professional	TC	$76.95	$132.41	$195.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $243.93 / $1,060.27	Professional		$134.72	$243.93	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $116.40 / $369.36	Professional	26	$63.16	$116.40	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.54 / $120.98 / $707.89	Professional	TC	$66.54	$120.98	$707.89
United Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $231.70 / $295.33	Professional		$134.72	$231.70	$295.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $113.38 / $147.65	Professional	26	$63.16	$113.38	$147.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $109.23 / $147.69	Professional	TC	$61.71	$109.23	$147.69