Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.60 / $36.61 / $59.44	Facility	26	$36.60	$36.61	$59.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $108.25 / $234.96	Professional		$95.77	$108.25	$234.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.67 / $34.14 / $53.89	Professional	26	$32.67	$34.14	$53.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $178.89 / $198.32 / $415.77	Professional	50	$178.89	$198.32	$415.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.21 / $71.56 / $119.09	Professional	TC	$62.21	$71.56	$119.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $248.30 / $260.14	Professional		$211.05	$248.30	$260.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.38 / $84.38 / $88.21	Professional	26	$68.38	$84.38	$88.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $301.82 / $372.45 / $390.23	Professional	50	$301.82	$372.45	$390.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.82 / $163.91 / $171.90	Professional	TC	$132.82	$163.91	$171.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $39.72 / $39.72	Facility	26	$39.72	$39.72	$39.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $168.67 / $268.92	Professional		$113.09	$168.67	$268.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.01 / $63.73 / $89.66	Professional	26	$40.01	$63.73	$89.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.37 / $120.35 / $179.86	Professional	TC	$72.37	$120.35	$179.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $195.57 / $667.61	Professional		$108.99	$195.57	$667.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.24 / $67.31 / $219.03	Professional	26	$37.24	$67.31	$219.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $129.56 / $448.58	Professional	TC	$71.81	$129.56	$448.58
United Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $184.71 / $244.46	Professional		$108.99	$184.71	$244.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.42 / $62.34 / $86.30	Professional	26	$38.42	$62.34	$86.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.18 / $122.37 / $158.16	Professional	TC	$79.18	$122.37	$158.16