Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.13 / $255.94 / $431.41	Facility	26	$48.13	$255.94	$431.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.35 / $398.56 / $2,304.00	Professional		$330.35	$398.56	$2,304.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.13 / $110.35 / $296.95	Professional	26	$48.13	$110.35	$296.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.22 / $282.22 / $2,007.04	Professional	TC	$282.22	$282.22	$2,007.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.96 / $638.08 / $654.02	Professional		$596.96	$638.08	$654.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.26 / $94.34 / $96.70	Professional	26	$88.26	$94.34	$96.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $508.69 / $543.74 / $557.33	Professional	TC	$508.69	$543.74	$557.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $278.39 / $278.39 / $278.39	Facility	26	$278.39	$278.39	$278.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.49 / $798.97 / $998.71	Professional		$646.49	$798.97	$998.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.58 / $113.25 / $141.57	Professional	26	$95.58	$113.25	$141.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $550.91 / $684.62 / $857.15	Professional	TC	$550.91	$684.62	$857.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $236.00 / $236.00 / $236.00	Facility	26	$236.00	$236.00	$236.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $439.32 / $693.74 / $915.25	Professional		$439.32	$693.74	$915.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.97 / $100.07 / $145.57	Professional	26	$62.97	$100.07	$145.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $377.74 / $598.29 / $786.95	Professional	TC	$377.74	$598.29	$786.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $159.60 / $164.25 / $278.39	Facility	26	$159.60	$164.25	$278.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.00 / $721.58 / $933.07	Professional		$556.00	$721.58	$933.07
United Facility/Professional Professional Modifier Low / Median / High Price $439.32 / $700.34 / $913.88	Professional		$439.32	$700.34	$913.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.97 / $98.89 / $128.30	Professional	26	$62.97	$98.89	$128.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $377.74 / $592.66 / $768.31	Professional	TC	$377.74	$592.66	$768.31