Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.11 / $93.17 / $93.17	Facility	26	$92.11	$93.17	$93.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.88 / $936.35 / $5,496.30	Professional		$785.88	$936.35	$5,496.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.17 / $98.89 / $578.66	Professional	26	$93.17	$98.89	$578.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $692.71 / $692.71 / $4,917.58	Professional	TC	$692.71	$692.71	$4,917.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.76 / $1,509.02 / $1,546.75	Professional		$1,411.76	$1,509.02	$1,546.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.72 / $181.41 / $185.96	Professional	26	$169.72	$181.41	$185.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,242.03 / $1,327.59 / $1,360.79	Professional	TC	$1,242.03	$1,327.59	$1,360.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $535.38 / $535.38 / $535.38	Facility	26	$535.38	$535.38	$535.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.93 / $1,895.04 / $2,368.79	Professional		$1,528.93	$1,895.04	$2,368.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $183.81 / $218.75 / $273.43	Professional	26	$183.81	$218.75	$273.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,345.12 / $1,676.29 / $2,095.36	Professional	TC	$1,345.12	$1,676.29	$2,095.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $432.95 / $432.95 / $432.95	Facility	26	$432.95	$432.95	$432.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,045.85 / $1,666.07 / $2,493.84	Professional		$1,045.85	$1,666.07	$2,493.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $120.06 / $195.10 / $287.38	Professional	26	$120.06	$195.10	$287.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $925.80 / $1,468.55 / $2,206.46	Professional	TC	$925.80	$1,468.55	$2,206.46
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $291.07 / $299.55 / $535.38	Facility	26	$291.07	$299.55	$535.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,547.38 / $1,930.41 / $3,133.22	Professional		$1,547.38	$1,930.41	$3,133.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.85 / $1,650.35 / $2,178.88	Professional		$1,045.85	$1,650.35	$2,178.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.06 / $192.80 / $250.13	Professional	26	$120.06	$192.80	$250.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $925.80 / $1,468.55 / $1,928.75	Professional	TC	$925.80	$1,468.55	$1,928.75