Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $61.66 / $102.33	Facility	26	$58.88	$61.66	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $758.58	Professional		$380.19	$436.52	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $199.53	Professional	26	$54.95	$70.79	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $380.19 / $575.44	Professional	TC	$323.59	$380.19	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,122.02	Professional		$758.58	$1,023.29	$1,122.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $144.54	Professional	26	$97.72	$128.82	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $891.25 / $977.24	Professional	TC	$676.08	$891.25	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $912.01 / $1,148.15	Professional		$467.74	$912.01	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $141.25	Professional	26	$70.79	$114.82	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $794.33 / $1,000.00	Professional	TC	$407.38	$794.33	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $3,890.45	Professional		$512.86	$794.33	$3,890.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $109.65 / $616.60	Professional	26	$70.79	$109.65	$616.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $676.08 / $3,548.13	Professional	TC	$446.68	$676.08	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,148.15	Professional		$478.63	$776.25	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $109.65 / $151.36	Professional	26	$66.07	$109.65	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $676.08 / $1,000.00	Professional	TC	$407.38	$676.08	$1,000.00