Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $384.10 / $540.12	Facility		$151.36	$384.10	$540.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.83 / $8.84 / $14.27	Facility	26	$8.83	$8.84	$14.27
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.16 / $230.30 / $323.42	Facility	TC	$26.16	$230.30	$323.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $35.00 / $130.00	Professional		$21.00	$35.00	$130.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.26 / $30.60	Professional	26	$7.33	$8.26	$30.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.78 / $39.78 / $113.52	Professional	50	$39.78	$39.78	$113.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.64 / $17.50 / $19.44	Professional	52	$14.64	$17.50	$19.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $28.76 / $210.60	Professional	TC	$21.94	$28.76	$210.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $90.79 / $92.91	Professional		$70.13	$90.79	$92.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $20.29 / $21.21	Professional	26	$16.07	$20.29	$21.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.50 / $168.64 / $185.50	Professional	50	$82.50	$168.64	$185.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.24 / $68.16 / $71.48	Professional	TC	$55.24	$68.16	$71.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $31.68 / $31.68 / $31.68	Facility	TC	$31.68	$31.68	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $55.32 / $87.50	Professional		$32.11	$55.32	$87.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $15.23 / $20.96	Professional	26	$8.39	$15.23	$20.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.61 / $43.14 / $65.93	Professional	TC	$22.61	$43.14	$65.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $55.69 / $154.72	Facility		$35.00	$55.69	$154.72
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $76.56 / $97.89 / $147.51	Facility	TC	$76.56	$97.89	$147.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $63.24 / $237.03	Professional		$32.61	$63.24	$237.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $16.76 / $71.00	Professional	26	$10.82	$16.76	$71.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.03 / $45.62 / $183.85	Professional	TC	$25.03	$45.62	$183.85
United Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $60.08 / $87.98	Professional		$34.78	$60.08	$87.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $16.26 / $21.75	Professional	26	$8.94	$16.26	$21.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $45.62 / $65.97	Professional	TC	$25.09	$45.62	$65.97