Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.55 / $375.64 / $633.16	Facility	26	$70.55	$375.64	$633.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $1,714.40 / $2,641.23	Professional		$85.59	$1,714.40	$2,641.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.55 / $168.52 / $414.00	Professional	26	$70.55	$168.52	$414.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.14 / $309.14 / $2,205.51	Professional	TC	$309.14	$309.14	$2,205.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.11 / $731.24 / $749.51	Professional		$684.11	$731.24	$749.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.97 / $137.86 / $141.31	Professional	26	$128.97	$137.86	$141.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $555.14 / $593.39 / $608.23	Professional	TC	$555.14	$593.39	$608.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $406.80 / $406.80 / $406.80	Facility	26	$406.80	$406.80	$406.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.88 / $887.81 / $1,148.04	Professional		$740.88	$887.81	$1,148.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $139.66 / $166.00 / $207.50	Professional	26	$139.66	$166.00	$207.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $601.21 / $726.29 / $940.54	Professional	TC	$601.21	$726.29	$940.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $328.49 / $328.49 / $328.49	Facility	26	$328.49	$328.49	$328.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $505.61 / $804.92 / $1,180.19	Professional		$505.61	$804.92	$1,180.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.02 / $147.03 / $223.34	Professional	26	$94.02	$147.03	$223.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $415.13 / $655.35 / $956.85	Professional	TC	$415.13	$655.35	$956.85
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $239.53 / $246.50 / $406.80	Facility	26	$239.53	$246.50	$406.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.77 / $857.58 / $1,073.88	Professional		$512.77	$857.58	$1,073.88
United Facility/Professional Professional Modifier Low / Median / High Price $505.61 / $804.92 / $1,053.34	Professional		$505.61	$804.92	$1,053.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.48 / $145.30 / $188.50	Professional	26	$90.48	$145.30	$188.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $415.13 / $655.35 / $864.85	Professional	TC	$415.13	$655.35	$864.85