Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.59 / $287.95 / $485.39	Facility	26	$53.59	$287.95	$485.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.94 / $303.94 / $2,094.14	Professional		$303.94	$303.94	$2,094.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.59 / $124.96 / $331.49	Professional	26	$53.59	$124.96	$331.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.35 / $250.35 / $1,762.60	Professional	TC	$250.35	$250.35	$1,762.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.87 / $588.82 / $603.53	Professional		$550.87	$588.82	$603.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.15 / $104.92 / $107.54	Professional	26	$98.15	$104.92	$107.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $452.73 / $483.92 / $496.01	Professional	TC	$452.73	$483.92	$496.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.60 / $309.60 / $309.60	Facility	26	$309.60	$309.60	$309.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.60 / $741.57 / $926.96	Professional		$596.60	$741.57	$926.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.30 / $126.44 / $158.05	Professional	26	$106.30	$126.44	$158.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $490.30 / $615.13 / $768.91	Professional	TC	$490.30	$615.13	$768.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $249.77 / $249.77 / $249.77	Facility	26	$249.77	$249.77	$249.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.22 / $644.35 / $941.56	Professional		$409.22	$644.35	$941.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.70 / $111.66 / $163.86	Professional	26	$68.70	$111.66	$163.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $341.80 / $530.74 / $777.70	Professional	TC	$341.80	$530.74	$777.70
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $177.54 / $182.71 / $309.60	Facility	26	$177.54	$182.71	$309.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $448.08 / $705.36 / $929.45	Professional		$448.08	$705.36	$929.45
United Facility/Professional Professional Modifier Low / Median / High Price $400.38 / $642.94 / $834.13	Professional		$400.38	$642.94	$834.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.70 / $110.34 / $143.15	Professional	26	$68.70	$110.34	$143.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $341.80 / $530.74 / $690.98	Professional	TC	$341.80	$530.74	$690.98