Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $407.38	Facility		$114.82	$218.78	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.94 / $13.49	Facility	26	$7.08	$7.94	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $21.88 / $38.02	Facility	TC	$19.95	$21.88	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $69.18	Professional		$15.85	$29.51	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.02 / $29.51	Professional	26	$6.92	$12.02	$29.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	50	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $30.90 / $138.04	Professional	TC	$17.78	$30.90	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $75.86	Professional		$53.70	$67.61	$75.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.78 / $19.95	Professional	26	$14.13	$17.78	$19.95
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $134.90 / $151.36	Professional	50	$107.15	$134.90	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $50.12 / $56.23	Professional	TC	$39.81	$50.12	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $72.44	Professional		$26.30	$44.67	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $19.50	Professional	26	$7.24	$11.22	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $51.29	Professional	TC	$19.05	$33.88	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $186.21	Facility		$28.84	$46.77	$186.21
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $70.79 / $186.21 / $323.59	Facility	TC	$70.79	$186.21	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $48.98 / $186.21	Professional		$27.54	$48.98	$186.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $15.85 / $64.57	Professional	26	$8.32	$15.85	$64.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $34.67 / $162.18	Professional	TC	$19.50	$34.67	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $69.18	Professional		$27.54	$43.65	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.49 / $20.89	Professional	26	$8.13	$13.49	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.20 / $50.12	Professional	TC	$19.50	$30.20	$50.12