Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.24 / $107.03 / $133.78	Facility	26	$44.24	$107.03	$133.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $87.51 / $164.26	Professional		$70.69	$87.51	$164.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.39 / $33.34 / $51.26	Professional	26	$28.39	$33.34	$51.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $361.13 / $361.13 / $361.13	Professional	50	$361.13	$361.13	$361.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.92 / $55.88 / $80.95	Professional	TC	$40.92	$55.88	$80.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $63.60 / $79.50	Professional		$47.70	$63.60	$79.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $25.56 / $31.95	Professional	26	$19.17	$25.56	$31.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.53 / $38.04 / $47.55	Professional	TC	$28.53	$38.04	$47.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $36.24 / $36.24	Facility	26	$36.24	$36.24	$36.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $101.64 / $177.05	Professional		$64.92	$101.64	$177.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $39.22 / $67.23	Professional	26	$26.96	$39.22	$67.23
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.81 / $126.81 / $126.81	Professional	50	$126.81	$126.81	$126.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.79 / $62.41 / $108.81	Professional	TC	$36.79	$62.41	$108.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $145.31 / $145.31 / $145.31	Facility	26	$145.31	$145.31	$145.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $101.41 / $583.91	Professional		$83.67	$101.41	$583.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $36.81 / $335.18	Professional	26	$32.19	$36.81	$335.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $49.41 / $64.59 / $353.01	Professional	TC	$49.41	$64.59	$353.01
United Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $99.69 / $170.65	Professional		$81.13	$99.69	$170.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $36.81 / $67.50	Professional	26	$32.19	$36.81	$67.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.41 / $62.95 / $99.05	Professional	TC	$49.41	$62.95	$99.05