Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.03 / $66.03 / $152.06	Facility	26	$66.03	$66.03	$152.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $325.00 / $482.09	Professional		$193.34	$325.00	$482.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $87.48 / $119.69	Professional	26	$66.03	$87.48	$119.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $212.93 / $385.85	Professional	TC	$127.32	$212.93	$385.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.35 / $797.63 / $836.49	Professional		$646.35	$797.63	$836.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $174.90 / $215.84 / $225.60	Professional	26	$174.90	$215.84	$225.60
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,140.61 / $1,520.82 / $1,672.98	Professional	50	$1,140.61	$1,520.82	$1,672.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $471.44 / $581.79 / $610.13	Professional	TC	$471.44	$581.79	$610.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.96 / $101.96 / $101.96	Facility	26	$101.96	$101.96	$101.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.93 / $629.29 / $891.42	Professional		$419.93	$629.29	$891.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.21 / $151.54 / $227.89	Professional	26	$92.21	$151.54	$227.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $318.01 / $463.73 / $708.80	Professional	TC	$318.01	$463.73	$708.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $833.76 / $833.76 / $833.76	Facility	26	$833.76	$833.76	$833.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $707.18 / $2,878.66	Professional		$382.19	$707.18	$2,878.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $96.00 / $180.71 / $561.99	Professional	26	$96.00	$180.71	$561.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $289.23 / $514.58 / $2,400.63	Professional	TC	$289.23	$514.58	$2,400.63
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $653.44 / $1,081.95	Professional		$360.90	$653.44	$1,081.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.00 / $172.77 / $235.12	Professional	26	$96.00	$172.77	$235.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.23 / $473.29 / $791.40	Professional	TC	$289.23	$473.29	$791.40