Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $72.44	Professional		$46.77	$52.48	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $25.70	Professional	26	$15.14	$19.95	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $32.36 / $48.98	Professional	TC	$30.90	$32.36	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $123.03	Professional		$83.18	$120.23	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.02 / $38.90	Professional	26	$25.70	$38.02	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $81.28 / $85.11	Professional	TC	$57.54	$81.28	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $123.03 / $186.21	Professional		$41.69	$123.03	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $46.77 / $56.23	Professional	26	$20.42	$46.77	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $79.43 / $131.83	Professional	TC	$24.55	$79.43	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $467.74	Professional		$38.90	$72.44	$467.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $26.30 / $186.21	Professional	26	$22.91	$26.30	$186.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $43.65 / $309.03	Professional	TC	$23.44	$43.65	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $190.55	Professional		$114.82	$147.91	$190.55
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $46.77 / $58.88	Professional	26	$42.66	$46.77	$58.88
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $104.71 / $131.83	Professional	TC	$67.61	$104.71	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $190.55	Professional		$162.18	$186.21	$190.55
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $56.23 / $58.88	Professional	26	$54.95	$56.23	$58.88
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $131.83 / $131.83	Professional	TC	$109.65	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $128.82	Professional		$48.98	$67.61	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $25.12 / $51.29	Professional	26	$22.91	$25.12	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $41.69 / $77.62	Professional	TC	$25.70	$41.69	$77.62