Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $100.05 / $125.06	Facility	26	$41.36	$100.05	$125.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $77.64 / $145.99	Professional		$63.49	$77.64	$145.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $29.53 / $58.10	Professional	26	$26.28	$29.53	$58.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.30 / $35.26 / $193.05	Professional	52	$27.30	$35.26	$193.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $49.53 / $71.75	Professional	TC	$35.56	$49.53	$71.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $58.10 / $72.63	Professional		$43.58	$58.10	$72.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $23.96 / $29.95	Professional	26	$17.97	$23.96	$29.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $34.14 / $42.68	Professional	TC	$25.61	$34.14	$42.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $85.01 / $134.63	Professional		$56.27	$85.01	$134.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.23 / $33.92 / $59.54	Professional	26	$25.23	$33.92	$59.54
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.56 / $85.56 / $85.56	Professional	50	$85.56	$85.56	$85.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $49.74 / $78.31	Professional	TC	$31.04	$49.74	$78.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $136.22 / $136.22 / $136.22	Facility	26	$136.22	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $82.54 / $497.00	Professional		$67.68	$82.54	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $31.76 / $320.31	Professional	26	$27.77	$31.76	$320.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $52.94 / $320.31	Professional	TC	$36.09	$52.94	$320.31
United Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $80.31 / $122.89	Professional		$67.68	$80.31	$122.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $31.76 / $50.59	Professional	26	$28.59	$31.76	$50.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $43.64 / $68.97	Professional	TC	$36.09	$43.64	$68.97