Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $19.50	Facility	26	$10.96	$10.96	$19.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $69.18 / $407.38	Facility	TC	$32.36	$69.18	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $54.95 / $158.49	Professional		$22.39	$54.95	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $21.88 / $56.23	Professional	26	$10.00	$21.88	$56.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $138.04 / $194.98	Professional	50	$61.66	$138.04	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $67.61 / $229.09	Professional	TC	$26.92	$67.61	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $123.03	Professional		$83.18	$109.65	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $28.18	Professional	26	$19.05	$25.70	$28.18
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $218.78 / $245.47	Professional	50	$165.96	$218.78	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $85.11 / $93.33	Professional	TC	$63.10	$85.11	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $112.20	Professional		$38.90	$72.44	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.22 / $28.18	Professional	26	$9.77	$16.22	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $56.23 / $83.18	Professional	TC	$27.54	$56.23	$83.18
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $162.18 / $177.83 / $218.78	Facility	TC	$162.18	$177.83	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $295.12	Professional		$42.66	$75.86	$295.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $21.88 / $87.10	Professional	26	$11.48	$21.88	$87.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $57.54 / $229.09	Professional	TC	$30.90	$57.54	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $112.20	Professional		$39.81	$67.61	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $28.84	Professional	26	$10.96	$18.20	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $48.98 / $85.11	Professional	TC	$29.51	$48.98	$85.11