Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.53 / $127.53 / $207.95	Facility	26	$127.53	$127.53	$207.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.75 / $718.98 / $1,240.79	Professional		$496.75	$718.98	$1,240.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.29 / $133.52 / $357.30	Professional	26	$114.29	$133.52	$357.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $248.38 / $335.49 / $516.49	Professional	52	$248.38	$335.49	$516.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $401.94 / $585.46 / $927.64	Professional	TC	$401.94	$585.46	$927.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.08 / $1,523.91 / $1,670.79	Professional		$1,253.08	$1,523.91	$1,670.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $230.26 / $280.02 / $307.02	Professional	26	$230.26	$280.02	$307.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,022.83 / $1,243.88 / $1,363.77	Professional	TC	$1,022.83	$1,243.88	$1,363.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.14 / $1,371.47 / $1,714.34	Professional		$799.14	$1,371.47	$1,714.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $155.11 / $247.50 / $311.20	Professional	26	$155.11	$247.50	$311.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $614.27 / $1,125.93 / $1,407.41	Professional	TC	$614.27	$1,125.93	$1,407.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $725.62 / $1,232.89 / $6,200.00	Professional		$725.62	$1,232.89	$6,200.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $142.12 / $238.99 / $1,081.48	Professional	26	$142.12	$238.99	$1,081.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $585.64 / $958.32 / $3,875.48	Professional	TC	$585.64	$958.32	$3,875.48
United Facility/Professional Professional Modifier Low / Median / High Price $648.89 / $1,187.36 / $1,807.80	Professional		$648.89	$1,187.36	$1,807.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $129.19 / $229.05 / $302.67	Professional	26	$129.19	$229.05	$302.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $519.69 / $949.61 / $1,242.31	Professional	TC	$519.69	$949.61	$1,242.31