Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $71.64 / $229.50	Facility		$40.04	$71.64	$229.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.36 / $11.36 / $21.01	Facility	26	$11.36	$11.36	$21.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.69 / $53.28 / $396.15	Facility	TC	$28.69	$53.28	$396.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $38.58 / $55.09	Professional		$34.54	$38.58	$55.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $10.82 / $17.30	Professional	26	$9.26	$10.82	$17.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $146.63 / $146.63 / $146.63	Professional	50	$146.63	$146.63	$146.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $28.25 / $35.49	Professional	TC	$25.42	$28.25	$35.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $100.62 / $105.16	Professional		$81.54	$100.62	$105.16
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 $60.49 / $74.65 / $78.03	Professional	TC	$60.49	$74.65	$78.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $46.23 / $46.23	Facility		$46.23	$46.23	$46.23
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 $34.29 / $34.29 / $34.29	Facility	TC	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $66.50 / $101.92	Professional		$41.26	$66.50	$101.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.28 / $27.57	Professional	26	$10.72	$17.28	$27.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $47.20 / $74.34	Professional	TC	$28.39	$47.20	$74.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $60.65 / $81.95	Facility		$40.04	$60.65	$81.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $75.75 / $265.10	Professional		$38.40	$75.75	$265.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $21.94 / $68.20	Professional	26	$11.55	$21.94	$68.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $53.56 / $196.89	Professional	TC	$27.43	$53.56	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $71.77 / $100.69	Professional		$39.74	$71.77	$100.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $21.03 / $28.36	Professional	26	$11.55	$21.03	$28.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $50.70 / $72.33	Professional	TC	$28.87	$50.70	$72.33