Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.85 / $357.84 / $600.85	Facility		$84.85	$357.84	$600.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.56 / $9.56 / $17.68	Facility	26	$9.56	$9.56	$17.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.63 / $289.06 / $323.42	Facility	TC	$23.63	$289.06	$323.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $32.46 / $189.05	Professional		$8.93	$32.46	$189.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $9.24 / $26.10	Professional	26	$8.56	$9.24	$26.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.68 / $63.41 / $107.48	Professional	50	$58.68	$63.41	$107.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $27.14 / $264.60	Professional	TC	$19.14	$27.14	$264.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $86.67 / $88.69	Professional		$66.91	$86.67	$88.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $21.91 / $22.90	Professional	26	$17.75	$21.91	$22.90
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.72 / $160.90 / $177.00	Professional	50	$78.72	$160.90	$177.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.63 / $62.48 / $65.52	Professional	TC	$50.63	$62.48	$65.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $39.14 / $39.14	Facility		$39.14	$39.14	$39.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $52.78 / $81.06	Professional		$32.57	$52.78	$81.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.30 / $22.70	Professional	26	$9.02	$16.30	$22.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $39.59 / $60.50	Professional	TC	$22.98	$39.59	$60.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $56.47 / $182.97	Facility		$33.19	$56.47	$182.97
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $142.19 / $201.36 / $264.79	Facility	TC	$142.19	$201.36	$264.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $58.37 / $221.82	Professional		$31.26	$58.37	$221.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $18.94 / $89.16	Professional	26	$11.44	$18.94	$89.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $40.90 / $177.00	Professional	TC	$22.63	$40.90	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $57.98 / $83.42	Professional		$32.01	$57.98	$83.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $17.44 / $23.84	Professional	26	$9.74	$17.44	$23.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $40.17 / $72.73	Professional	TC	$21.53	$40.17	$72.73