Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $269.15 / $446.68	Facility		$100.00	$269.15	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.94 / $13.49	Facility	26	$7.08	$7.94	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $42.66 / $190.55	Facility	TC	$21.88	$42.66	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $31.62 / $67.61	Professional		$16.22	$31.62	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.14 / $33.88	Professional	26	$7.08	$15.14	$33.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $56.23 / $100.00	Professional	50	$33.11	$56.23	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $67.61	Professional	TC	$19.05	$29.51	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $81.28	Professional		$54.95	$74.13	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.78 / $19.95	Professional	26	$13.49	$17.78	$19.95
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $147.91 / $162.18	Professional	50	$109.65	$147.91	$162.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $56.23 / $61.66	Professional	TC	$41.69	$56.23	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $75.86	Professional		$28.18	$47.86	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $19.95	Professional	26	$7.08	$11.22	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $37.15 / $56.23	Professional	TC	$20.89	$37.15	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $53.70 / $186.21	Facility		$30.90	$53.70	$186.21
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $75.86 / $91.20 / $107.15	Facility	TC	$75.86	$91.20	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $204.17	Professional		$29.51	$53.70	$204.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $16.22 / $75.86	Professional	26	$8.51	$16.22	$75.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $38.02 / $162.18	Professional	TC	$21.38	$38.02	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $74.13	Professional		$28.18	$48.98	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.49 / $20.42	Professional	26	$7.94	$13.49	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $34.67 / $54.95	Professional	TC	$19.50	$34.67	$54.95