Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $166.73 / $746.88	Facility		$115.83	$166.73	$746.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.48 / $8.48 / $13.10	Facility	26	$8.48	$8.48	$13.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.39 / $37.56 / $300.07	Facility	TC	$20.39	$37.56	$300.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $28.86 / $63.90	Professional		$21.96	$28.86	$63.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.83 / $25.20	Professional	26	$7.03	$7.83	$25.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $20.75 / $63.90	Professional	TC	$17.98	$20.75	$63.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $71.41 / $74.63	Professional		$57.87	$71.41	$74.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.12 / $18.67 / $19.51	Professional	26	$15.12	$18.67	$19.51
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $115.74 / $142.82 / $149.26	Professional	50	$115.74	$142.82	$149.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.74 / $52.74 / $55.12	Professional	TC	$42.74	$52.74	$55.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Facility		$32.79	$32.79	$32.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Facility	TC	$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $47.49 / $72.68	Professional		$29.45	$47.49	$72.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $13.96 / $19.50	Professional	26	$7.68	$13.96	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $34.93 / $51.85	Professional	TC	$20.59	$34.93	$51.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $45.17 / $71.47	Facility		$28.73	$45.17	$71.47
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $70.43 / $185.36 / $320.00	Facility	TC	$70.43	$185.36	$320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $52.61 / $187.12	Professional		$28.20	$52.61	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $16.14 / $64.39	Professional	26	$8.66	$16.14	$64.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $35.31 / $161.00	Professional	TC	$19.54	$35.31	$161.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $49.43 / $72.48	Professional		$28.46	$49.43	$72.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $15.87 / $21.12	Professional	26	$8.66	$15.87	$21.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $34.65 / $51.36	Professional	TC	$19.54	$34.65	$51.36