Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.03 / $7.03 / $11.35	Facility	26	$7.03	$7.03	$11.35
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.69 / $55.02 / $327.49	Facility	TC	$28.69	$55.02	$327.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $35.34 / $89.00	Professional		$21.60	$35.34	$89.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $7.03 / $42.72	Professional	26	$5.83	$7.03	$42.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.64 / $63.64 / $106.40	Professional	50	$63.64	$63.64	$106.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.21 / $17.86 / $19.98	Professional	52	$14.21	$17.86	$19.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $30.53 / $89.00	Professional	TC	$22.57	$30.53	$89.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $94.92 / $97.54	Professional		$73.98	$94.92	$97.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $15.48 / $16.96	Professional	26	$12.87	$15.48	$16.96
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.54 / $177.92 / $195.08	Professional	50	$97.54	$177.92	$195.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.46 / $77.09 / $80.56	Professional	TC	$62.46	$77.09	$80.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.66 / $7.66 / $7.66	Facility	26	$7.66	$7.66	$7.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.40 / $35.40 / $35.40	Facility	TC	$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $58.36 / $89.21	Professional		$25.85	$58.36	$89.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $11.70 / $16.59	Professional	26	$6.67	$11.70	$16.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $48.72 / $74.47	Professional	TC	$21.08	$48.72	$74.47
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $99.16 / $122.62 / $226.33	Facility	TC	$99.16	$122.62	$226.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $62.50 / $241.48	Professional		$32.85	$62.50	$241.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.72 / $13.34 / $51.19	Professional	26	$7.72	$13.34	$51.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $49.28 / $199.06	Professional	TC	$27.06	$49.28	$199.06
United Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $60.72 / $89.83	Professional		$34.78	$60.72	$89.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $13.00 / $17.50	Professional	26	$7.16	$13.00	$17.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $48.77 / $72.33	Professional	TC	$27.06	$48.77	$72.33