Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $72.44	Professional		$34.67	$51.29	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $46.77	Professional	26	$22.91	$30.90	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $17.38 / $25.12	Professional	TC	$10.96	$17.38	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $85.11	Professional		$57.54	$85.11	$85.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $57.54	Professional	26	$38.02	$56.23	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.84 / $28.84	Professional	TC	$19.50	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $97.72 / $125.89	Professional		$38.90	$97.72	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $70.79 / $83.18	Professional	26	$24.55	$70.79	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $32.36 / $42.66	Professional	TC	$13.80	$32.36	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $354.81	Professional		$33.11	$56.23	$354.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $38.02 / $229.09	Professional	26	$33.88	$38.02	$229.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $17.78 / $120.23	Professional	TC	$9.77	$17.78	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $131.83	Professional		$95.50	$97.72	$131.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $70.79 / $87.10	Professional	26	$63.10	$70.79	$87.10
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.88 / $44.67	Professional	TC	$28.18	$33.88	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $131.83	Professional		$123.03	$125.89	$131.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $83.18 / $87.10	Professional	26	$81.28	$83.18	$87.10
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $44.67	Professional	TC	$42.66	$42.66	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $109.65	Professional		$51.29	$54.95	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $38.02 / $75.86	Professional	26	$33.88	$38.02	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $17.38 / $33.11	Professional	TC	$16.22	$17.38	$33.11