Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.48 / $8.48 / $13.70	Facility	26	$8.48	$8.48	$13.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $31.39 / $64.80	Professional		$25.87	$31.39	$64.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $28.48	Professional	26	$7.03	$8.22	$28.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $22.91 / $64.08	Professional	TC	$18.82	$22.91	$64.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $80.89 / $83.11	Professional		$63.05	$80.89	$83.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $19.48 / $20.35	Professional	26	$15.78	$19.48	$20.35
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.18 / $151.60 / $166.22	Professional	50	$74.18	$151.60	$166.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.66 / $60.05 / $62.76	Professional	TC	$48.66	$60.05	$62.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $51.00 / $76.15	Professional		$30.93	$51.00	$76.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $14.34 / $20.07	Professional	26	$8.02	$14.34	$20.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.68 / $38.06 / $58.18	Professional	TC	$21.68	$38.06	$58.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $55.41 / $206.66	Professional		$30.17	$55.41	$206.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $16.80 / $79.26	Professional	26	$8.66	$16.80	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $38.95 / $161.00	Professional	TC	$21.14	$38.95	$161.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $53.37 / $78.87	Professional		$30.44	$53.37	$78.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $15.60 / $21.12	Professional	26	$8.66	$15.60	$21.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $38.95 / $69.88	Professional	TC	$21.14	$38.95	$69.88