Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.72 / $46.72 / $76.59	Facility	26	$46.72	$46.72	$76.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $108.89 / $537.55	Professional		$84.00	$108.89	$537.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $48.88 / $126.12	Professional	26	$41.13	$48.88	$126.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $51.11 / $83.06	Professional	TC	$40.17	$51.11	$83.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $216.59 / $238.74	Professional		$178.70	$216.59	$238.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.60 / $102.89 / $112.80	Professional	26	$84.60	$102.89	$112.80
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $357.40 / $433.18 / $477.48	Professional	50	$357.40	$433.18	$477.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.57 / $113.72 / $129.32	Professional	TC	$94.57	$113.72	$129.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.11 / $201.88 / $313.10	Professional		$102.11	$201.88	$313.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.45 / $95.22 / $146.04	Professional	26	$54.45	$95.22	$146.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.66 / $106.91 / $167.06	Professional	TC	$47.66	$106.91	$167.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $193.03 / $641.76	Professional		$110.33	$193.03	$641.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.39 / $88.77 / $283.72	Professional	26	$51.39	$88.77	$283.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.97 / $90.44 / $358.05	Professional	TC	$51.97	$90.44	$358.05
United Facility/Professional Professional Modifier Low / Median / High Price $101.13 / $175.67 / $242.76	Professional		$101.13	$175.67	$242.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.28 / $84.10 / $111.00	Professional	26	$47.28	$84.10	$111.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.97 / $90.33 / $124.87	Professional	TC	$51.97	$90.33	$124.87