Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $457.09 / $741.31	Facility		$89.13	$457.09	$741.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.88 / $54.95	Facility	26	$33.11	$33.88	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $186.21	Professional		$47.86	$87.10	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $42.66 / $89.13	Professional	26	$28.18	$42.66	$89.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $165.96 / $380.19	Professional	50	$102.33	$165.96	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $186.21	Professional	TC	$43.65	$56.23	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $218.78	Professional		$147.91	$194.98	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $83.18	Professional	26	$56.23	$75.86	$83.18
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $295.12 / $323.59	Professional	50	$223.87	$295.12	$323.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $120.23 / $134.90	Professional	TC	$91.20	$120.23	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $213.80	Professional		$77.62	$128.82	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $47.86 / $83.18	Professional	26	$30.90	$47.86	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $81.28 / $134.90	Professional	TC	$46.77	$81.28	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $263.03	Facility		$89.13	$144.54	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $549.54	Professional		$81.28	$151.36	$549.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $70.79 / $123.03	Professional	26	$40.74	$70.79	$123.03
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $213.80 / $331.13	Professional	50	$213.80	$213.80	$331.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $100.00 / $338.84	Professional	TC	$54.95	$100.00	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $213.80	Professional		$85.11	$134.90	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $51.29 / $83.18	Professional	26	$33.11	$51.29	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $83.18 / $128.82	Professional	TC	$52.48	$83.18	$128.82