Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $302.00 / $478.63	Facility		$93.33	$302.00	$478.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $15.85	Facility	26	$8.91	$8.91	$15.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $47.86 / $323.59	Facility	TC	$22.91	$47.86	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $35.48 / $107.15	Professional		$8.71	$35.48	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.30 / $38.90	Professional	26	$8.32	$12.30	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $24.55 / $100.00 / $134.90	Professional	50	$24.55	$100.00	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $48.98 / $190.55	Professional	TC	$20.89	$48.98	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $89.13	Professional		$60.26	$81.28	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $23.44	Professional	26	$15.85	$20.89	$23.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $162.18 / $177.83	Professional	50	$120.23	$162.18	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $58.88 / $66.07	Professional	TC	$44.67	$58.88	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $81.28	Professional		$31.62	$52.48	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.18 / $22.91	Professional	26	$8.13	$13.18	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $58.88	Professional	TC	$21.88	$39.81	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $213.80	Facility		$33.11	$74.13	$213.80
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $141.25 / $199.53 / $263.03	Facility	TC	$141.25	$199.53	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $223.87	Professional		$26.92	$54.95	$223.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.20 / $89.13	Professional	26	$11.48	$18.20	$89.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $39.81 / $177.83	Professional	TC	$22.39	$39.81	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $81.28	Professional		$30.90	$50.12	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $23.99	Professional	26	$9.33	$15.14	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.88 / $60.26	Professional	TC	$21.38	$33.88	$60.26