Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $575.44	Professional		$363.08	$478.63	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $43.65 / $52.48	Professional	26	$36.31	$43.65	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $416.87 / $524.81	Professional	TC	$331.13	$416.87	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $870.96	Professional		$588.84	$870.96	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $89.13	Professional	26	$60.26	$89.13	$89.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $524.81 / $776.25 / $794.33	Professional	TC	$524.81	$776.25	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,023.29 / $1,380.38	Professional		$398.11	$1,023.29	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $107.15 / $128.82	Professional	26	$41.69	$107.15	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $912.01 / $1,258.93	Professional	TC	$354.81	$912.01	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $3,981.07	Professional		$323.59	$562.34	$3,981.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $58.88 / $363.08	Professional	26	$34.67	$58.88	$363.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $501.19 / $3,548.13	Professional	TC	$288.40	$501.19	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,380.38	Professional		$977.24	$1,023.29	$1,380.38
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $107.15 / $134.90	Professional	26	$97.72	$107.15	$134.90
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $870.96 / $912.01 / $1,258.93	Professional	TC	$870.96	$912.01	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,380.38	Professional		$1,258.93	$1,258.93	$1,380.38
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $134.90	Professional	26	$128.82	$128.82	$134.90
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,122.02 / $1,258.93	Professional	TC	$1,122.02	$1,122.02	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $1,071.52	Professional		$436.52	$549.54	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $58.88 / $117.49	Professional	26	$52.48	$58.88	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $501.19 / $954.99	Professional	TC	$380.19	$501.19	$954.99