Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $46.77 / $141.25	Facility	26	$33.88	$46.77	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $199.53	Professional		$81.28	$93.33	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $28.18	Professional	26	$12.02	$14.13	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $194.98	Professional		$162.18	$186.21	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $28.18 / $29.51	Professional	26	$26.30	$28.18	$29.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $309.03	Professional		$74.13	$169.82	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $30.90 / $43.65	Professional	26	$12.88	$30.90	$43.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $616.60	Professional		$81.28	$131.83	$616.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.44 / $162.18	Professional	26	$17.38	$23.44	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $338.84	Professional		$169.82	$199.53	$338.84
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $32.36 / $51.29	Professional	26	$28.84	$32.36	$51.29
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $338.84	Professional		$117.49	$117.49	$338.84
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.90 / $51.29	Professional	26	$25.70	$30.90	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $204.17	Professional		$79.43	$123.03	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.91 / $36.31	Professional	26	$16.22	$22.91	$36.31