Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.24 / $328.18 / $553.17	Facility	26	$61.24	$328.18	$553.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.06 / $409.82 / $1,513.96	Professional		$221.06	$409.82	$1,513.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.24 / $140.00 / $322.00	Professional	26	$61.24	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.83 / $173.77 / $1,134.57	Professional	TC	$159.83	$173.77	$1,134.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $429.92 / $457.58	Professional		$402.20	$429.92	$457.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.25 / $119.98 / $125.67	Professional	26	$112.25	$119.98	$125.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $289.94 / $309.92 / $330.85	Professional	TC	$289.94	$309.92	$330.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $354.06 / $354.06 / $354.06	Facility	26	$354.06	$354.06	$354.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.10 / $511.38 / $777.77	Professional		$328.10	$511.38	$777.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.15 / $140.62 / $180.35	Professional	26	$81.15	$140.62	$180.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.83 / $370.14 / $616.21	Professional	TC	$269.83	$370.14	$616.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.10 / $583.66 / $2,821.00	Professional		$365.10	$583.66	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.30 / $129.83 / $625.77	Professional	26	$77.30	$129.83	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $267.00 / $445.00 / $2,451.15	Professional	TC	$267.00	$445.00	$2,451.15
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $206.37 / $212.38 / $354.06	Facility	26	$206.37	$212.38	$354.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $435.59 / $565.76 / $871.00	Professional		$435.59	$565.76	$871.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.08 / $562.13 / $822.94	Professional		$292.08	$562.13	$822.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.30 / $128.61 / $163.50	Professional	26	$77.30	$128.61	$163.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.60 / $391.60 / $504.19	Professional	TC	$213.60	$391.60	$504.19