Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.89 / $68.89 / $109.51	Facility	26	$68.89	$68.89	$109.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.11 / $333.04 / $598.50	Professional		$177.11	$333.04	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.36 / $140.00 / $230.00	Professional	26	$62.36	$140.00	$230.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.78 / $115.82 / $237.50	Professional	52	$98.78	$115.82	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.66 / $335.00 / $931.29	Professional	TC	$155.66	$335.00	$931.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.89 / $516.70 / $528.75	Professional		$398.89	$516.70	$528.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.59 / $154.97 / $161.99	Professional	26	$125.59	$154.97	$161.99
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $525.84 / $959.22 / $1,055.20	Professional	50	$525.84	$959.22	$1,055.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $282.08 / $348.10 / $365.06	Professional	TC	$282.08	$348.10	$365.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.18 / $485.59 / $811.21	Professional		$298.18	$485.59	$811.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.81 / $117.06 / $164.15	Professional	26	$67.81	$117.06	$164.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.73 / $333.34 / $690.15	Professional	TC	$212.73	$333.34	$690.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $603.28 / $603.28 / $603.28	Facility	26	$603.28	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $476.56 / $2,789.74	Professional		$233.50	$476.56	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.37 / $137.36 / $542.85	Professional	26	$70.37	$137.36	$542.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $187.16 / $340.30 / $2,451.15	Professional	TC	$187.16	$340.30	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $250.06 / $429.89 / $740.18	Professional		$250.06	$429.89	$740.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.37 / $126.82 / $171.58	Professional	26	$70.37	$126.82	$171.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.76 / $309.45 / $530.16	Professional	TC	$173.76	$309.45	$530.16