Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.63 / $36.63 / $55.62	Facility	26	$36.63	$36.63	$55.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $79.14 / $123.27	Professional		$63.73	$79.14	$123.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $33.15 / $43.07	Professional	26	$27.83	$33.15	$43.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.71 / $49.35 / $78.31	Professional	TC	$36.71	$49.35	$78.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $180.95 / $189.76	Professional		$143.47	$180.95	$189.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.12 / $77.90 / $81.42	Professional	26	$63.12	$77.90	$81.42
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $293.26 / $361.90 / $379.52	Professional	50	$293.26	$361.90	$379.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.51 / $103.05 / $108.07	Professional	TC	$83.51	$103.05	$108.07
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 $95.70 / $142.72 / $199.60	Professional		$95.70	$142.72	$199.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $60.90 / $84.30	Professional	26	$35.95	$60.90	$84.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.57 / $81.83 / $114.44	Professional	TC	$59.57	$81.83	$114.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $178.32 / $583.91	Professional		$101.41	$178.32	$583.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $65.29 / $335.18	Professional	26	$36.81	$65.29	$335.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.59 / $110.30 / $353.01	Professional	TC	$64.59	$110.30	$353.01
United Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $166.31 / $254.27	Professional		$89.88	$166.31	$254.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $62.27 / $84.20	Professional	26	$36.81	$62.27	$84.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.55 / $105.94 / $142.19	Professional	TC	$59.55	$105.94	$142.19