Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $47.86 / $81.28	Facility	26	$34.67	$47.86	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $128.82 / $389.05	Professional		$45.71	$128.82	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $75.86 / $181.97	Professional	26	$43.65	$75.86	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $112.20 / $309.03	Professional	TC	$77.62	$112.20	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $338.84	Professional		$239.88	$309.03	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $107.15 / $120.23	Professional	26	$85.11	$107.15	$120.23
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $616.60 / $676.08	Professional	50	$478.63	$616.60	$676.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $199.53 / $218.78	Professional	TC	$154.88	$199.53	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $436.52	Professional		$165.96	$251.19	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $70.79 / $120.23	Professional	26	$40.74	$70.79	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $165.96 / $288.40	Professional	TC	$107.15	$165.96	$288.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $1,380.38	Professional		$158.49	$309.03	$1,380.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $95.50 / $302.00	Professional	26	$51.29	$95.50	$302.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $223.87 / $1,318.26	Professional	TC	$107.15	$223.87	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $380.19	Professional		$158.49	$275.42	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $83.18 / $125.89	Professional	26	$44.67	$83.18	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $194.98 / $269.15	Professional	TC	$107.15	$194.98	$269.15