Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $174.84 / $394.34	Facility		$100.30	$174.84	$394.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $7.75 / $12.53	Facility	26	$7.75	$7.75	$12.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.02 / $20.02 / $36.40	Facility	TC	$20.02	$20.02	$36.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $27.42 / $69.70	Professional		$22.76	$27.42	$69.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $7.48 / $25.20	Professional	26	$6.59	$7.48	$25.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.38 / $13.74 / $14.82	Professional	52	$11.38	$13.74	$14.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.41 / $20.28 / $55.80	Professional	TC	$17.41	$20.28	$55.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $70.98 / $72.64	Professional		$54.69	$70.98	$72.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $17.85 / $18.66	Professional	26	$14.46	$17.85	$18.66
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.34 / $131.50 / $144.66	Professional	50	$64.34	$131.50	$144.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.42 / $51.12 / $53.61	Professional	TC	$41.42	$51.12	$53.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $32.07 / $32.07	Facility		$32.07	$32.07	$32.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	TC	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $44.58 / $70.27	Professional		$28.27	$44.58	$70.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $13.32 / $18.63	Professional	26	$7.61	$13.32	$18.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $33.00 / $50.87	Professional	TC	$20.20	$33.00	$50.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $44.76 / $54.04	Facility		$27.78	$44.76	$54.04
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $71.50 / $132.96 / $242.73	Facility	TC	$71.50	$132.96	$242.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $51.74 / $180.63	Professional		$27.52	$51.74	$180.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $15.31 / $67.70	Professional	26	$7.94	$15.31	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $36.28 / $154.00	Professional	TC	$19.71	$36.28	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $50.67 / $69.76	Professional		$28.15	$50.67	$69.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $14.53 / $19.93	Professional	26	$8.27	$14.53	$19.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $36.15 / $50.47	Professional	TC	$19.95	$36.15	$50.47