Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.22 / $35.22 / $80.39	Facility	26	$35.22	$35.22	$80.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $140.75 / $272.42	Professional		$107.69	$140.75	$272.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $49.09 / $147.60	Professional	26	$39.29	$49.09	$147.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.14 / $147.47 / $227.00	Professional	TC	$74.14	$147.47	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $328.51 / $336.17	Professional		$254.13	$328.51	$336.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.05 / $113.60 / $118.74	Professional	26	$92.05	$113.60	$118.74
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $298.98 / $611.10 / $672.26	Professional	50	$298.98	$611.10	$672.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $167.67 / $206.91 / $216.99	Professional	TC	$167.67	$206.91	$216.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $271.70 / $438.00	Professional		$193.22	$271.70	$438.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $87.54 / $121.00	Professional	26	$49.68	$87.54	$121.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.94 / $197.81 / $332.00	Professional	TC	$131.94	$197.81	$332.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $344.24 / $1,378.78	Professional		$185.29	$344.24	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $100.64 / $300.10	Professional	26	$51.25	$100.64	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $235.49 / $1,332.00	Professional	TC	$127.32	$235.49	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $304.33 / $392.85	Professional		$133.75	$304.33	$392.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $92.23 / $126.24	Professional	26	$54.91	$92.23	$126.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.86 / $218.50 / $282.20	Professional	TC	$109.86	$218.50	$282.20