Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $193.48 / $520.47	Facility	26	$87.25	$193.48	$520.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $243.78 / $480.16	Professional		$151.37	$243.78	$480.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $85.29 / $314.00	Professional	26	$56.82	$85.29	$314.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.08 / $134.04 / $271.08	Professional	TC	$66.08	$134.04	$271.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $299.42 / $313.33	Professional		$280.12	$299.42	$313.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.13 / $168.36 / $172.56	Professional	26	$151.13	$168.36	$172.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.61 / $131.06 / $136.78	Professional	TC	$122.61	$131.06	$136.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $496.86 / $496.86 / $496.86	Facility	26	$496.86	$496.86	$496.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $358.33 / $551.36	Professional		$182.52	$358.33	$551.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.10 / $196.52 / $251.13	Professional	26	$104.10	$196.52	$251.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.89 / $157.69 / $289.70	Professional	TC	$89.89	$157.69	$289.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $413.29 / $413.29 / $413.29	Facility	26	$413.29	$413.29	$413.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.49 / $343.06 / $3,140.08	Professional		$196.49	$343.06	$3,140.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.42 / $176.69 / $681.88	Professional	26	$83.42	$176.69	$681.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.24 / $160.96 / $2,808.09	Professional	TC	$87.24	$160.96	$2,808.09
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $203.10 / $209.01 / $496.86	Facility	26	$203.10	$209.01	$496.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $303.38 / $398.43 / $712.69	Professional		$303.38	$398.43	$712.69
United Facility/Professional Professional Modifier Low / Median / High Price $196.49 / $320.95 / $558.54	Professional		$196.49	$320.95	$558.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.90 / $136.65 / $223.32	Professional	26	$79.90	$136.65	$223.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.24 / $141.77 / $381.86	Professional	TC	$87.24	$141.77	$381.86