Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $501.19	Professional		$257.04	$398.11	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $46.77	Professional	26	$30.20	$38.90	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $354.81 / $363.08	Professional	TC	$223.87	$354.81	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $630.96	Professional		$426.58	$630.96	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $74.13 / $74.13	Professional	26	$50.12	$74.13	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $549.54 / $562.34	Professional	TC	$371.54	$549.54	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $812.83 / $977.24	Professional		$346.74	$812.83	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $91.20 / $107.15	Professional	26	$37.15	$91.20	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $724.44 / $870.96	Professional	TC	$316.23	$724.44	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $2,754.23	Professional		$245.47	$436.52	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $48.98 / $309.03	Professional	26	$29.51	$48.98	$309.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $2,454.71	Professional	TC	$218.78	$363.08	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $977.24	Professional		$707.95	$812.83	$977.24
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $91.20 / $114.82	Professional	26	$81.28	$91.20	$114.82
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $724.44 / $870.96	Professional	TC	$630.96	$724.44	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $977.24	Professional		$912.01	$912.01	$977.24
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $107.15 / $114.82	Professional	26	$104.71	$107.15	$114.82
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $794.33 / $794.33 / $870.96	Professional	TC	$794.33	$794.33	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $831.76	Professional		$363.08	$407.38	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $48.98 / $97.72	Professional	26	$43.65	$48.98	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $363.08 / $724.44	Professional	TC	$316.23	$363.08	$724.44