Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $19.95	Professional	26	$7.94	$10.00	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $23.99 / $50.12	Professional	TC	$19.95	$23.99	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $24.55 / $30.90	Professional	26	$13.49	$24.55	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $64.57 / $81.28	Professional	TC	$31.62	$64.57	$81.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.85 / $35.48	Professional	26	$10.00	$15.85	$35.48
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $89.13	Professional	TC	$23.99	$37.15	$89.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $77.62	Professional	26	$10.96	$16.22	$77.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $35.48 / $302.00	Professional	TC	$23.44	$35.48	$302.00
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $24.55 / $29.51	Professional	26	$20.89	$24.55	$29.51
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $57.54 / $67.61	Professional	TC	$51.29	$57.54	$67.61
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.91 / $26.30	Professional	26	$20.89	$22.91	$26.30
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $52.48 / $67.61	Professional	TC	$45.71	$52.48	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.49 / $23.99	Professional	26	$10.96	$13.49	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.90 / $57.54	Professional	TC	$23.44	$30.90	$57.54
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $21.38	Professional	26	$18.20	$18.20	$21.38
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $45.71 / $53.70	Professional	TC	$45.71	$45.71	$53.70