Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.64 / $45.64 / $74.26	Facility	26	$45.64	$45.64	$74.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.08 / $118.35 / $203.97	Professional		$71.08	$118.35	$203.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $59.28 / $128.32	Professional	26	$41.13	$59.28	$128.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.54 / $51.40 / $96.25	Professional	52	$35.54	$51.40	$96.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.03 / $72.72 / $134.24	Professional	TC	$37.03	$72.72	$134.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $222.79 / $244.26	Professional		$183.19	$222.79	$244.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.05 / $99.79 / $109.40	Professional	26	$82.05	$99.79	$109.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.14 / $123.00 / $134.85	Professional	TC	$101.14	$123.00	$134.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.13 / $201.46 / $253.32	Professional		$181.13	$201.46	$253.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.25 / $88.83 / $111.58	Professional	26	$71.25	$88.83	$111.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.66 / $115.86 / $159.79	Professional	TC	$97.66	$115.86	$159.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $282.92 / $3,000.00	Professional		$148.88	$282.92	$3,000.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $104.95 / $870.13	Professional	26	$57.74	$104.95	$870.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.58 / $174.58 / $870.13	Professional	TC	$84.58	$174.58	$870.13
United Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $222.21 / $341.86	Professional		$119.10	$222.21	$341.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $91.28 / $123.26	Professional	26	$57.74	$91.28	$123.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.91 / $150.25 / $218.60	Professional	TC	$72.91	$150.25	$218.60