Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $14.85	Facility	26	$9.19	$9.19	$14.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $27.41 / $41.36	Professional		$20.20	$27.41	$41.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $8.55 / $11.10	Professional	26	$7.71	$8.55	$11.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.57 / $113.57 / $113.57	Professional	50	$113.57	$113.57	$113.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.49 / $18.57 / $26.40	Professional	TC	$12.49	$18.57	$26.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $59.43 / $61.06	Professional		$46.33	$59.43	$61.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $21.09 / $22.05	Professional	26	$17.09	$21.09	$22.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.06 / $111.38 / $122.12	Professional	50	$61.06	$111.38	$122.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.25 / $37.33 / $39.01	Professional	TC	$30.25	$37.33	$39.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $45.04 / $63.68	Professional		$30.25	$45.04	$63.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $15.62 / $21.83	Professional	26	$8.69	$15.62	$21.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $29.18 / $44.22	Professional	TC	$20.59	$29.18	$44.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $57.34 / $203.00	Professional		$30.08	$57.34	$203.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $18.22 / $84.21	Professional	26	$9.38	$18.22	$84.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $39.70 / $165.00	Professional	TC	$18.77	$39.70	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $51.51 / $69.73	Professional		$28.76	$51.51	$69.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $16.76 / $22.94	Professional	26	$9.38	$16.76	$22.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $34.34 / $46.80	Professional	TC	$18.77	$34.34	$46.80