Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $282.20 / $718.32	Facility		$86.58	$282.20	$718.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $11.36 / $18.34	Facility	26	$11.35	$11.36	$18.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.10 / $294.20 / $362.01	Facility	TC	$34.10	$294.20	$362.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $40.07 / $99.68	Professional		$24.92	$40.07	$99.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $10.84 / $31.11	Professional	26	$9.88	$10.84	$31.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $157.91 / $157.91 / $157.91	Professional	50	$157.91	$157.91	$157.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $34.10 / $208.26	Professional	TC	$27.55	$34.10	$208.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $116.03 / $121.28	Professional		$94.03	$116.03	$121.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.04 / $25.97 / $27.14	Professional	26	$21.04	$25.97	$27.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.98 / $90.06 / $94.14	Professional	TC	$72.98	$90.06	$94.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.31 / $53.31 / $53.31	Facility		$53.31	$53.31	$53.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $41.38 / $41.38 / $41.38	Facility	TC	$41.38	$41.38	$41.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $73.08 / $115.68	Professional		$36.83	$73.08	$115.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.28 / $27.52	Professional	26	$10.72	$17.28	$27.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.74 / $57.35 / $88.11	Professional	TC	$30.74	$57.35	$88.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $72.56 / $263.69	Facility		$45.46	$72.56	$263.69
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $136.16 / $206.66 / $254.69	Facility	TC	$136.16	$206.66	$254.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $83.32 / $301.95	Professional		$43.54	$83.32	$301.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $21.26 / $68.20	Professional	26	$12.46	$21.26	$68.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.57 / $60.68 / $233.75	Professional	TC	$32.57	$60.68	$233.75
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $83.32 / $114.37	Professional		$45.83	$83.32	$114.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $20.76 / $28.36	Professional	26	$11.46	$20.76	$28.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.36 / $58.66 / $85.19	Professional	TC	$33.36	$58.66	$85.19