Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $251.19 / $537.03	Facility		$39.81	$251.19	$537.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.96 / $19.05	Facility	26	$10.00	$10.96	$19.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.18 / $32.36 / $54.95	Facility	TC	$28.18	$32.36	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $89.13	Professional		$30.90	$39.81	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $25.12	Professional	26	$8.91	$10.96	$25.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $177.83	Professional	50	$147.91	$147.91	$177.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.98 / $16.98 / $77.62	Professional	52	$16.98	$16.98	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $58.88	Professional	TC	$21.88	$28.84	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $107.15	Professional		$72.44	$95.50	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $24.55 / $27.54	Professional	26	$18.62	$24.55	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $70.79 / $79.43	Professional	TC	$53.70	$70.79	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $97.72	Professional		$32.36	$63.10	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.85 / $27.54	Professional	26	$9.77	$15.85	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $46.77 / $72.44	Professional	TC	$23.99	$46.77	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $223.87	Facility		$39.81	$64.57	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $263.03	Professional		$38.02	$72.44	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $21.38 / $67.61	Professional	26	$10.96	$21.38	$67.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $51.29 / $194.98	Professional	TC	$27.54	$51.29	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $97.72	Professional		$38.02	$63.10	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $28.84	Professional	26	$10.96	$18.62	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $44.67 / $70.79	Professional	TC	$26.30	$44.67	$70.79