Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.89 / $81.89 / $81.89	Facility	26	$81.89	$81.89	$81.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $148.69 / $380.03	Professional		$125.92	$148.69	$380.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.24 / $81.89 / $135.88	Professional	26	$60.24	$81.89	$135.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.59 / $63.56 / $95.34	Professional	TC	$45.59	$63.56	$95.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.53 / $307.11 / $337.83	Professional		$252.53	$307.11	$337.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.57 / $179.47 / $196.76	Professional	26	$147.57	$179.47	$196.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.31 / $127.64 / $140.91	Professional	TC	$105.31	$127.64	$140.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $282.57 / $441.44	Professional		$163.90	$282.57	$441.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.77 / $165.53 / $255.57	Professional	26	$91.77	$165.53	$255.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.55 / $122.82 / $185.87	Professional	TC	$73.55	$122.82	$185.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $282.51 / $874.03	Professional		$165.56	$282.51	$874.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.55 / $154.68 / $497.06	Professional	26	$89.55	$154.68	$497.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.25 / $129.10 / $376.97	Professional	TC	$72.25	$129.10	$376.97
United Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $270.39 / $339.72	Professional		$163.54	$270.39	$339.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.01 / $146.93 / $194.49	Professional	26	$83.01	$146.93	$194.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.81 / $120.16 / $145.90	Professional	TC	$72.81	$120.16	$145.90