Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $19.05	Facility	26	$18.20	$18.20	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $346.74	Professional		$53.70	$75.86	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $75.86	Professional	26	$16.98	$19.95	$75.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	50	$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $43.65 / $64.57	Professional	TC	$38.02	$43.65	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $154.88	Professional		$104.71	$138.04	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $46.77	Professional	26	$31.62	$41.69	$46.77
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $275.42 / $309.03	Professional	50	$208.93	$275.42	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $97.72 / $107.15	Professional	TC	$72.44	$97.72	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $165.96	Professional		$61.66	$114.82	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $34.67 / $48.98	Professional	26	$19.95	$34.67	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $79.43 / $117.49	Professional	TC	$41.69	$79.43	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $416.87	Professional		$64.57	$112.20	$416.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $114.82	Professional	26	$20.89	$35.48	$114.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $81.28 / $302.00	Professional	TC	$44.67	$81.28	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $158.49	Professional		$64.57	$112.20	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $34.67 / $46.77	Professional	26	$20.89	$34.67	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $75.86 / $112.20	Professional	TC	$44.67	$75.86	$112.20