Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $151.59 / $265.62	Professional		$130.08	$151.59	$265.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.64 / $76.34 / $124.21	Professional	26	$66.64	$76.34	$124.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $75.86 / $129.97	Professional	TC	$55.03	$75.86	$129.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $140.76 / $175.95	Professional		$105.57	$140.76	$175.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.19 / $72.26 / $90.32	Professional	26	$54.19	$72.26	$90.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.38 / $68.50 / $85.63	Professional	TC	$51.38	$68.50	$85.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.04 / $91.04 / $91.04	Facility	26	$91.04	$91.04	$91.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $168.82 / $346.90	Professional		$96.26	$168.82	$346.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.39 / $104.59 / $180.90	Professional	26	$72.39	$104.59	$180.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.75 / $90.34 / $191.88	Professional	TC	$40.75	$90.34	$191.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $183.99 / $358.77 / $358.77	Facility	26	$183.99	$358.77	$358.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $175.32 / $1,053.48	Professional		$113.40	$175.32	$1,053.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.61 / $90.97 / $509.36	Professional	26	$71.61	$90.97	$509.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.99 / $84.66 / $544.05	Professional	TC	$37.99	$84.66	$544.05
United Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $164.90 / $291.76	Professional		$110.16	$164.90	$291.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $82.60 / $156.19	Professional	26	$69.31	$82.60	$156.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.36 / $80.31 / $154.75	Professional	TC	$36.36	$80.31	$154.75