Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $81.28	Facility	26	$45.71	$45.71	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $537.03	Professional		$85.11	$177.83	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $77.62 / $190.55	Professional	26	$42.66	$77.62	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $186.21 / $199.53	Professional	50	$186.21	$186.21	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $53.70 / $85.11	Professional	TC	$39.81	$53.70	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $239.88	Professional		$162.18	$218.78	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $114.82	Professional	26	$77.62	$102.33	$114.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $436.52 / $478.63	Professional	50	$323.59	$436.52	$478.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $114.82 / $125.89	Professional	TC	$85.11	$114.82	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $263.03	Professional		$97.72	$177.83	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $123.03	Professional	26	$52.48	$85.11	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $91.20 / $138.04	Professional	TC	$45.71	$91.20	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $645.65	Professional		$120.23	$190.55	$645.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $87.10 / $281.84	Professional	26	$51.29	$87.10	$281.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $91.20 / $354.81	Professional	TC	$52.48	$91.20	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $245.47	Professional		$100.00	$173.78	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $85.11 / $114.82	Professional	26	$51.29	$85.11	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $89.13 / $128.82	Professional	TC	$50.12	$89.13	$128.82