Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $407.38	Facility		$100.00	$251.19	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.91 / $15.14	Facility	26	$7.94	$8.91	$15.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $28.18 / $47.86	Facility	TC	$25.12	$28.18	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $31.62 / $74.13	Professional		$10.96	$31.62	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $32.36	Professional	26	$7.08	$10.96	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $74.13	Professional	TC	$19.50	$26.92	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $91.20	Professional		$61.66	$81.28	$91.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $22.39	Professional	26	$15.14	$19.95	$22.39
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $165.96 / $181.97	Professional	50	$125.89	$165.96	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $61.66 / $69.18	Professional	TC	$46.77	$61.66	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $85.11	Professional		$28.18	$53.70	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $22.39	Professional	26	$7.94	$12.59	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $41.69 / $64.57	Professional	TC	$21.38	$41.69	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $165.96	Facility		$34.67	$56.23	$165.96
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $70.79 / $87.10 / $147.91	Facility	TC	$70.79	$87.10	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $223.87	Professional		$33.11	$60.26	$223.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $17.78 / $54.95	Professional	26	$9.12	$17.78	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $43.65 / $169.82	Professional	TC	$24.55	$43.65	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.14 / $23.44	Professional	26	$8.91	$15.14	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $39.81 / $61.66	Professional	TC	$22.91	$39.81	$61.66