Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $55.80 / $94.06	Facility	26	$10.02	$55.80	$94.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $76.31 / $215.00	Professional		$37.67	$76.31	$215.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $10.45 / $26.39	Professional	26	$9.98	$10.45	$26.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $28.56 / $166.15	Professional	TC	$27.69	$28.56	$166.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $76.09 / $78.00	Professional		$71.18	$76.09	$78.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.46 / $19.73 / $20.73	Professional	26	$18.46	$19.73	$20.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.31 / $56.35 / $57.77	Professional	TC	$51.31	$56.35	$57.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.26 / $58.26 / $58.26	Facility	26	$58.26	$58.26	$58.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $87.54 / $119.26	Professional		$40.38	$87.54	$119.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $23.02 / $29.09	Professional	26	$12.24	$23.02	$29.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $65.34 / $90.18	Professional	TC	$28.85	$65.34	$90.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $72.17 / $267.27	Professional		$44.41	$72.17	$267.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $21.24 / $85.85	Professional	26	$13.19	$21.24	$85.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.22 / $50.74 / $244.00	Professional	TC	$31.22	$50.74	$244.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $33.71 / $34.69 / $58.26	Facility	26	$33.71	$34.69	$58.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $80.50 / $103.29	Professional		$64.63	$80.50	$103.29
United Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $71.31 / $90.79	Professional		$44.41	$71.31	$90.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $20.95 / $26.96	Professional	26	$13.19	$20.95	$26.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.22 / $45.69 / $63.83	Professional	TC	$31.22	$45.69	$63.83