Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $36.31 / $58.88	Facility	26	$34.67	$36.31	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $234.42	Professional		$75.86	$104.71	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $109.65	Professional	26	$28.18	$36.31	$109.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $229.09 / $457.09	Professional	50	$112.20	$229.09	$457.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $69.18 / $154.88	Professional	TC	$54.95	$69.18	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $263.03	Professional		$177.83	$234.42	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $89.13	Professional	26	$60.26	$81.28	$89.13
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $354.81 / $398.11	Professional	50	$269.15	$354.81	$398.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $154.88 / $173.78	Professional	TC	$117.49	$154.88	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $257.04	Professional		$93.33	$154.88	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $51.29 / $89.13	Professional	26	$33.11	$51.29	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $104.71 / $173.78	Professional	TC	$60.26	$104.71	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $660.69	Professional		$109.65	$190.55	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $66.07 / $218.78	Professional	26	$37.15	$66.07	$218.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $123.03 / $446.68	Professional	TC	$72.44	$123.03	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $263.03	Professional		$104.71	$165.96	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $54.95 / $89.13	Professional	26	$35.48	$54.95	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $169.82	Professional	TC	$67.61	$109.65	$169.82