Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $260.63 / $425.82	Facility		$58.24	$260.63	$425.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.48 / $8.48 / $13.70	Facility	26	$8.48	$8.48	$13.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $24.36 / $44.55	Facility	TC	$19.95	$24.36	$44.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $31.50 / $69.30	Professional		$23.03	$31.50	$69.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $8.25 / $29.70	Professional	26	$7.61	$8.25	$29.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.00 / $98.00 / $98.00	Professional	50	$98.00	$98.00	$98.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.55 / $16.42 / $17.85	Professional	52	$13.55	$16.42	$17.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $24.36 / $68.53	Professional	TC	$20.07	$24.36	$68.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $81.96 / $85.95	Professional		$66.41	$81.96	$85.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $19.48 / $20.35	Professional	26	$15.78	$19.48	$20.35
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $115.08 / $156.26 / $171.90	Professional	50	$115.08	$156.26	$171.90
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 $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
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 $28.29 / $51.26 / $83.52	Professional		$28.29	$51.26	$83.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $14.34 / $20.27	Professional	26	$8.10	$14.34	$20.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $39.59 / $61.60	Professional	TC	$21.01	$39.59	$61.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $49.52 / $61.03	Facility		$32.33	$49.52	$61.03
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $107.25 / $170.68 / $221.14	Facility	TC	$107.25	$170.68	$221.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $58.20 / $217.55	Professional		$31.54	$58.20	$217.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $16.89 / $59.45	Professional	26	$8.66	$16.89	$59.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $42.00 / $166.53	Professional	TC	$22.71	$42.00	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $58.20 / $82.52	Professional		$31.54	$58.20	$82.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $15.46 / $21.12	Professional	26	$8.59	$15.46	$21.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $41.30 / $61.40	Professional	TC	$22.71	$41.30	$61.40