Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $302.00 / $512.86	Facility		$131.83	$302.00	$512.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.13 / $14.79	Facility	26	$7.94	$8.13	$14.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $34.67 / $229.09	Facility	TC	$25.70	$34.67	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $36.31 / $91.20	Professional		$9.77	$36.31	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $13.18 / $36.31	Professional	26	$7.41	$13.18	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $66.07 / $120.23	Professional	50	$17.78	$66.07	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $51.29 / $151.36	Professional	TC	$23.99	$51.29	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $93.33	Professional		$63.10	$85.11	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.50 / $21.38	Professional	26	$14.45	$19.50	$21.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $169.82 / $186.21	Professional	50	$125.89	$169.82	$186.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $64.57 / $72.44	Professional	TC	$48.98	$64.57	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $87.10	Professional		$30.90	$54.95	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.30 / $20.89	Professional	26	$7.59	$12.30	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $42.66 / $64.57	Professional	TC	$22.39	$42.66	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $64.57 / $208.93	Facility		$35.48	$64.57	$208.93
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $75.86 / $97.72 / $147.91	Facility	TC	$75.86	$97.72	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $234.42	Professional		$32.36	$58.88	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.98 / $69.18	Professional	26	$10.47	$16.98	$69.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $44.67 / $181.97	Professional	TC	$25.12	$44.67	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $85.11	Professional		$32.36	$53.70	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.13 / $22.39	Professional	26	$8.51	$14.13	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $64.57	Professional	TC	$23.44	$38.90	$64.57