Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.73 / $440.14 / $741.89	Facility	26	$81.73	$440.14	$741.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.27 / $475.00 / $1,460.00	Professional		$325.27	$475.00	$1,460.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.73 / $140.00 / $457.00	Professional	26	$81.73	$140.00	$457.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.55 / $264.85 / $1,724.84	Professional	TC	$243.55	$264.85	$1,724.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.66 / $633.50 / $673.33	Professional		$592.66	$633.50	$673.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.27 / $159.56 / $169.19	Professional	26	$149.27	$159.56	$169.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $443.38 / $473.94 / $504.14	Professional	TC	$443.38	$473.94	$504.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $470.88 / $470.88 / $470.88	Facility	26	$470.88	$470.88	$470.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.57 / $753.15 / $993.87	Professional		$437.57	$753.15	$993.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.34 / $187.50 / $240.47	Professional	26	$107.34	$187.50	$240.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $330.23 / $565.30 / $807.00	Professional	TC	$330.23	$565.30	$807.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $793.04 / $793.04 / $793.04	Facility	26	$793.04	$793.04	$793.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $536.75 / $720.87 / $3,032.66	Professional		$536.75	$720.87	$3,032.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.89 / $173.29 / $854.80	Professional	26	$104.89	$173.29	$854.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $405.92 / $550.89 / $2,562.41	Professional	TC	$405.92	$550.89	$2,562.41
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $278.20 / $286.32 / $470.88	Facility	26	$278.20	$286.32	$470.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $815.86 / $1,061.68	Professional		$641.85	$815.86	$1,061.68
United Facility/Professional Professional Modifier Low / Median / High Price $508.65 / $689.59 / $894.58	Professional		$508.65	$689.59	$894.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.67 / $170.08 / $218.05	Professional	26	$104.67	$170.08	$218.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $324.73 / $527.69 / $676.53	Professional	TC	$324.73	$527.69	$676.53