Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $181.97 / $549.54	Facility	26	$128.82	$181.97	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $1,412.54	Professional		$208.93	$331.13	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $363.08	Professional	26	$57.54	$67.61	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $177.83 / $1,047.13	Professional	TC	$151.36	$177.83	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $416.87	Professional		$371.54	$398.11	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $112.20 / $117.49	Professional	26	$104.71	$112.20	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $288.40 / $302.00	Professional	TC	$269.15	$288.40	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $741.31	Professional		$416.87	$524.81	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $141.25 / $177.83	Professional	26	$91.20	$141.25	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $380.19 / $602.56	Professional	TC	$295.12	$380.19	$602.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	26	$575.44	$575.44	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $3,388.44	Professional		$263.03	$478.63	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $436.52	Professional	26	$69.18	$117.49	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $346.74 / $3,019.95	Professional	TC	$186.21	$346.74	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $741.31	Professional		$416.87	$478.63	$741.31
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $131.83 / $208.93	Professional	26	$117.49	$131.83	$208.93
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $346.74 / $537.03	Professional	TC	$302.00	$346.74	$537.03
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Professional		$489.78	$489.78	$512.86
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $138.04 / $144.54	Professional	26	$138.04	$138.04	$144.54
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $371.54	Professional	TC	$346.74	$346.74	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $630.96	Professional		$263.03	$446.68	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $158.49	Professional	26	$67.61	$117.49	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $323.59 / $575.44	Professional	TC	$186.21	$323.59	$575.44