Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.18 / $68.18 / $109.51	Facility	26	$68.18	$68.18	$109.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $332.04 / $697.76	Professional		$175.50	$332.04	$697.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.86 / $140.00 / $386.26	Professional	26	$61.86	$140.00	$386.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.62 / $115.47 / $237.50	Professional	52	$98.62	$115.47	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.66 / $335.00 / $1,331.90	Professional	TC	$155.66	$335.00	$1,331.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.24 / $515.88 / $527.91	Professional		$398.24	$515.88	$527.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.59 / $154.97 / $161.99	Professional	26	$125.59	$154.97	$161.99
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $524.98 / $957.66 / $1,053.48	Professional	50	$524.98	$957.66	$1,053.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.42 / $347.29 / $364.21	Professional	TC	$281.42	$347.29	$364.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $484.81 / $811.21	Professional		$297.68	$484.81	$811.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.81 / $117.06 / $164.15	Professional	26	$67.81	$117.06	$164.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.24 / $332.57 / $690.15	Professional	TC	$212.24	$332.57	$690.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $603.28 / $603.28 / $603.28	Facility	26	$603.28	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.32 / $476.94 / $2,791.06	Professional		$262.32	$476.94	$2,791.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.29 / $136.63 / $525.38	Professional	26	$69.29	$136.63	$525.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $185.14 / $340.30 / $2,451.15	Professional	TC	$185.14	$340.30	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $426.59 / $741.19	Professional		$202.39	$426.59	$741.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.29 / $129.81 / $170.03	Professional	26	$69.29	$129.81	$170.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.36 / $319.50 / $529.35	Professional	TC	$173.36	$319.50	$529.35