Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.22 / $35.22 / $80.39	Facility	26	$35.22	$35.22	$80.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $196.88 / $394.25	Professional		$113.66	$196.88	$394.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $48.16 / $187.79	Professional	26	$35.22	$48.16	$187.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.44 / $112.36 / $227.00	Professional	TC	$78.44	$112.36	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.60 / $409.40 / $418.95	Professional		$314.60	$409.40	$418.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.05 / $113.60 / $118.74	Professional	26	$92.05	$113.60	$118.74
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $370.12 / $756.54 / $832.22	Professional	50	$370.12	$756.54	$832.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.47 / $283.19 / $296.98	Professional	TC	$229.47	$283.19	$296.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.93 / $314.02 / $461.44	Professional		$234.93	$314.02	$461.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $87.54 / $121.00	Professional	26	$49.68	$87.54	$121.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.46 / $226.47 / $346.16	Professional	TC	$169.46	$226.47	$346.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $360.06 / $1,378.78	Professional		$185.01	$360.06	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $100.70 / $300.10	Professional	26	$51.25	$100.70	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $142.69 / $260.20 / $1,103.98	Professional	TC	$142.69	$260.20	$1,103.98
United Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $326.75 / $555.48	Professional		$185.01	$326.75	$555.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $92.71 / $126.24	Professional	26	$51.25	$92.71	$126.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.21 / $247.89 / $399.85	Professional	TC	$142.21	$247.89	$399.85