Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $302.00 / $489.78	Facility		$128.82	$302.00	$489.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $14.79	Facility	26	$7.94	$7.94	$14.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $25.12 / $302.00	Facility	TC	$21.88	$25.12	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $34.67 / $85.11	Professional		$9.77	$34.67	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.59 / $36.31	Professional	26	$7.41	$12.59	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	50	$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $43.65 / $95.50	Professional	TC	$20.42	$43.65	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $83.18	Professional		$60.26	$75.86	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.50 / $21.38	Professional	26	$15.14	$19.50	$21.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $151.36 / $169.82	Professional	50	$120.23	$151.36	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $56.23 / $63.10	Professional	TC	$44.67	$56.23	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $81.28	Professional		$29.51	$50.12	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.30 / $20.89	Professional	26	$7.59	$12.30	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $37.15 / $60.26	Professional	TC	$21.38	$37.15	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $56.23 / $199.53	Facility		$30.90	$56.23	$199.53
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $173.78 / $223.87 / $295.12	Facility	TC	$173.78	$223.87	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $56.23 / $208.93	Professional		$29.51	$56.23	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $16.60 / $74.13	Professional	26	$9.12	$16.60	$74.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $42.66 / $177.83	Professional	TC	$21.38	$42.66	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $75.86	Professional		$29.51	$52.48	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.13 / $22.39	Professional	26	$8.51	$14.13	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $38.02 / $56.23	Professional	TC	$21.38	$38.02	$56.23