Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $396.78 / $770.22	Facility		$197.96	$396.78	$770.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.84 / $8.84 / $14.27	Facility	26	$8.84	$8.84	$14.27
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.16 / $284.95 / $552.50	Facility	TC	$26.16	$284.95	$552.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $36.90 / $158.41	Professional		$21.60	$36.90	$158.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $42.72	Professional	26	$7.33	$8.55	$42.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $15.80 / $112.16 / $116.92	Professional	50	$15.80	$112.16	$116.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $30.35 / $210.60	Professional	TC	$21.64	$30.35	$210.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $90.88 / $94.99	Professional		$73.64	$90.88	$94.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $20.64 / $21.21	Professional	26	$16.44	$20.64	$21.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.28 / $181.76 / $189.98	Professional	50	$147.28	$181.76	$189.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.21 / $70.59 / $73.79	Professional	TC	$57.21	$70.59	$73.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $41.75 / $41.75	Facility		$41.75	$41.75	$41.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Facility	TC	$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $56.84 / $87.04	Professional		$32.11	$56.84	$87.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $15.23 / $20.96	Professional	26	$8.39	$15.23	$20.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.61 / $44.66 / $68.26	Professional	TC	$22.61	$44.66	$68.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $56.08 / $165.60	Facility		$35.00	$56.08	$165.60
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $125.53 / $211.14 / $255.09	Facility	TC	$125.53	$211.14	$255.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $61.80 / $234.86	Professional		$33.60	$61.80	$234.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $17.62 / $67.70	Professional	26	$10.51	$17.62	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $45.14 / $181.68	Professional	TC	$24.30	$45.14	$181.68
United Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $61.40 / $87.98	Professional		$33.99	$61.40	$87.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $16.14 / $22.01	Professional	26	$8.94	$16.14	$22.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.03 / $44.18 / $65.97	Professional	TC	$25.03	$44.18	$65.97