Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.47 / $424.94 / $546.12	Facility		$70.47	$424.94	$546.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.56 / $9.56 / $15.44	Facility	26	$9.56	$9.56	$15.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.77 / $289.06 / $323.42	Facility	TC	$29.77	$289.06	$323.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $39.33 / $96.04	Professional		$18.32	$39.33	$96.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $9.56 / $46.80	Professional	26	$8.52	$9.56	$46.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.00 / $70.40 / $128.00	Professional	50	$60.00	$70.40	$128.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.14 / $19.67 / $21.40	Professional	52	$16.14	$19.67	$21.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $33.54 / $207.00	Professional	TC	$24.44	$33.54	$207.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $101.52 / $103.90	Professional		$78.48	$101.52	$103.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $21.91 / $22.90	Professional	26	$17.75	$21.91	$22.90
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.34 / $188.74 / $207.62	Professional	50	$92.34	$188.74	$207.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.34 / $77.09 / $80.84	Professional	TC	$61.34	$77.09	$80.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $45.85 / $45.85	Facility		$45.85	$45.85	$45.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.79 / $35.79 / $35.79	Facility	TC	$35.79	$35.79	$35.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $61.92 / $97.54	Professional		$35.42	$61.92	$97.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.30 / $22.70	Professional	26	$9.02	$16.30	$22.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $48.72 / $74.47	Professional	TC	$24.88	$48.72	$74.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.33 / $64.33 / $144.40	Facility		$39.33	$64.33	$144.40
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $88.29 / $112.10 / $147.76	Facility	TC	$88.29	$112.10	$147.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $70.56 / $263.06	Professional		$37.03	$70.56	$263.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $19.05 / $79.26	Professional	26	$11.44	$19.05	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $52.78 / $205.55	Professional	TC	$28.46	$52.78	$205.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $68.25 / $98.89	Professional		$39.51	$68.25	$98.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $17.51 / $22.62	Professional	26	$9.74	$17.51	$22.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $50.61 / $75.05	Professional	TC	$28.46	$50.61	$75.05