Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.81 / $67.81 / $108.94	Facility	26	$67.81	$67.81	$108.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.22 / $372.60 / $532.00	Professional		$238.22	$372.60	$532.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $140.00 / $289.50	Professional	26	$65.34	$140.00	$289.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.84 / $281.63 / $368.50	Professional	TC	$163.84	$281.63	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.56 / $568.70 / $581.96	Professional		$435.56	$568.70	$581.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $124.93 / $154.16 / $161.13	Professional	26	$124.93	$154.16	$161.13
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $574.17 / $1,047.40 / $1,152.18	Professional	50	$574.17	$1,047.40	$1,152.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $320.22 / $395.17 / $414.47	Professional	TC	$320.22	$395.17	$414.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.62 / $522.52 / $811.21	Professional		$326.62	$522.52	$811.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.48 / $117.06 / $163.27	Professional	26	$67.48	$117.06	$163.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.67 / $383.31 / $690.15	Professional	TC	$241.67	$383.31	$690.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $661.81 / $2,789.74	Professional		$313.98	$661.81	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.93 / $135.91 / $531.65	Professional	26	$68.93	$135.91	$531.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $234.98 / $485.60 / $2,459.04	Professional	TC	$234.98	$485.60	$2,459.04
United Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $514.74 / $735.34	Professional		$261.64	$514.74	$735.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.93 / $124.99 / $169.13	Professional	26	$68.93	$124.99	$169.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.26 / $435.76 / $599.41	Professional	TC	$231.26	$435.76	$599.41