Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.73 / $396.06 / $625.50	Facility		$61.73	$396.06	$625.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $12.32 / $14.85	Facility	26	$9.19	$12.32	$14.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.44 / $25.44 / $46.87	Facility	TC	$25.44	$25.44	$46.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $31.37 / $64.87	Professional		$20.70	$31.37	$64.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $8.89 / $24.92	Professional	26	$8.36	$8.89	$24.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $24.84 / $65.17	Professional	TC	$20.96	$24.84	$65.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $86.82 / $90.75	Professional		$70.34	$86.82	$90.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $21.09 / $22.05	Professional	26	$17.09	$21.09	$22.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.69 / $173.64 / $181.50	Professional	50	$140.69	$173.64	$181.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.26 / $65.73 / $68.70	Professional	TC	$53.26	$65.73	$68.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $39.89 / $39.89	Facility		$39.89	$39.89	$39.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	TC	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $55.54 / $87.83	Professional		$33.78	$55.54	$87.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $14.13 / $22.18	Professional	26	$8.69	$14.13	$22.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $41.62 / $65.44	Professional	TC	$23.39	$41.62	$65.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.64 / $52.99 / $70.89	Facility		$34.64	$52.99	$70.89
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $70.20 / $86.43 / $148.00	Facility	TC	$70.20	$86.43	$148.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $65.16 / $226.14	Professional		$33.26	$65.16	$226.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $18.39 / $55.28	Professional	26	$9.38	$18.39	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $46.32 / $170.86	Professional	TC	$24.35	$46.32	$170.86
United Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $60.82 / $87.06	Professional		$35.01	$60.82	$87.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $16.89 / $22.91	Professional	26	$9.38	$16.89	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.48 / $44.00 / $64.15	Professional	TC	$25.48	$44.00	$64.15