Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.34 / $591.01 / $996.19	Facility	26	$109.34	$591.01	$996.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.58 / $213.14 / $1,427.00	Professional		$206.58	$213.14	$1,427.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.34 / $109.34 / $678.77	Professional	26	$109.34	$109.34	$678.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.24 / $97.24 / $648.75	Professional	TC	$97.24	$97.24	$648.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.12 / $408.44 / $427.62	Professional		$382.12	$408.44	$427.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $199.74 / $213.50 / $225.19	Professional	26	$199.74	$213.50	$225.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.38 / $194.94 / $201.28	Professional	TC	$182.38	$194.94	$201.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $630.00 / $630.00 / $630.00	Facility	26	$630.00	$630.00	$630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.83 / $499.63 / $980.48	Professional		$413.83	$499.63	$980.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.77 / $250.18 / $322.89	Professional	26	$132.77	$250.18	$322.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.51 / $244.10 / $722.18	Professional	TC	$197.51	$244.10	$722.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility	26	$1,061.59	$1,061.59	$1,061.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $438.87 / $869.34 / $1,915.39	Professional		$438.87	$869.34	$1,915.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $125.16 / $231.80 / $717.76	Professional	26	$125.16	$231.80	$717.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $313.70 / $641.37 / $1,435.54	Professional	TC	$313.70	$641.37	$1,435.54
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $359.83 / $370.31 / $630.00	Facility	26	$359.83	$370.31	$630.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $476.26 / $603.71	Professional		$405.72	$476.26	$603.71
United Facility/Professional Professional Modifier Low / Median / High Price $460.68 / $859.10 / $1,083.79	Professional		$460.68	$859.10	$1,083.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $132.33 / $227.97 / $284.20	Professional	26	$132.33	$227.97	$284.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $368.19 / $641.37 / $799.58	Professional	TC	$368.19	$641.37	$799.58