Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $53.40 / $82.69	Facility		$53.40	$53.40	$82.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.93 / $31.93 / $52.13	Facility	26	$31.93	$31.93	$52.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $82.80 / $176.22	Professional		$45.46	$82.80	$176.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $45.34 / $64.78	Professional	26	$28.99	$45.34	$64.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.18 / $36.89 / $64.75	Professional	TC	$16.18	$36.89	$64.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $118.86 / $121.63	Professional		$94.03	$118.86	$121.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.18 / $73.02 / $76.33	Professional	26	$59.18	$73.02	$76.33
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $121.28 / $221.24 / $243.26	Professional	50	$121.28	$221.24	$243.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.85 / $41.00 / $45.10	Professional	TC	$34.85	$41.00	$45.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $53.68 / $53.68	Facility		$53.68	$53.68	$53.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $90.72 / $154.16	Professional		$66.95	$90.72	$154.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.67 / $57.09 / $87.27	Professional	26	$37.67	$57.09	$87.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.61 / $82.52	Professional	TC	$25.12	$33.61	$82.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $82.69 / $196.85	Facility		$53.40	$82.69	$196.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $134.04 / $659.45	Professional		$67.76	$134.04	$659.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $79.95 / $335.18	Professional	26	$38.72	$79.95	$335.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.04 / $56.50 / $404.98	Professional	TC	$29.04	$56.50	$404.98
United Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $112.31 / $187.18	Professional		$64.52	$112.31	$187.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.96 / $64.34 / $107.34	Professional	26	$35.96	$64.34	$107.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $47.28 / $79.94	Professional	TC	$21.65	$47.28	$79.94