Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.04 / $110.50 / $186.26	Facility	26	$20.04	$110.50	$186.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $60.97 / $365.16	Professional		$58.81	$60.97	$365.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $20.04 / $125.87	Professional	26	$19.57	$20.04	$125.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.40 / $40.93 / $239.29	Professional	TC	$40.40	$40.93	$239.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $120.86 / $123.88	Professional		$113.06	$120.86	$123.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.92 / $39.46 / $41.47	Professional	26	$36.92	$39.46	$41.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.15 / $81.40 / $83.43	Professional	TC	$76.15	$81.40	$83.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.46 / $116.46 / $116.46	Facility	26	$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $139.72 / $191.02	Professional		$64.58	$139.72	$191.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $46.05 / $59.15	Professional	26	$24.14	$46.05	$59.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.06 / $95.35 / $131.87	Professional	TC	$49.06	$95.35	$131.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $94.47 / $94.47 / $94.47	Facility	26	$94.47	$94.47	$94.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $117.59 / $420.07	Professional		$70.98	$117.59	$420.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $42.09 / $132.09	Professional	26	$25.99	$42.09	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.99 / $76.37 / $288.04	Professional	TC	$44.99	$76.37	$288.04
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $69.48 / $71.51 / $116.46	Facility	26	$69.48	$71.51	$116.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $139.47 / $173.04	Professional		$111.00	$139.47	$173.04
United Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $117.59 / $147.88	Professional		$70.98	$117.59	$147.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $41.74 / $53.13	Professional	26	$25.99	$41.74	$53.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.99 / $76.37 / $91.96	Professional	TC	$44.99	$76.37	$91.96