Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $64.57	Professional		$41.69	$57.54	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.20 / $22.91	Professional	26	$15.85	$18.20	$22.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $41.69	Professional	TC	$25.70	$38.02	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $104.71	Professional		$69.18	$102.33	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $38.90 / $38.90	Professional	26	$26.30	$38.90	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $64.57 / $64.57	Professional	TC	$43.65	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $154.88	Professional		$46.77	$128.82	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $47.86 / $56.23	Professional	26	$16.22	$47.86	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $79.43 / $97.72	Professional	TC	$33.11	$79.43	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $436.52	Professional		$41.69	$69.18	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $26.92 / $158.49	Professional	26	$16.22	$26.92	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $42.66 / $281.84	Professional	TC	$25.70	$42.66	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $158.49	Professional		$114.82	$128.82	$158.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $60.26	Professional	26	$42.66	$50.12	$60.26
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $79.43 / $100.00	Professional	TC	$72.44	$79.43	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $158.49	Professional		$147.91	$147.91	$158.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $60.26	Professional	26	$56.23	$56.23	$60.26
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $91.20 / $100.00	Professional	TC	$91.20	$91.20	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $141.25	Professional		$54.95	$69.18	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $53.70	Professional	26	$20.42	$26.92	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $42.66 / $85.11	Professional	TC	$35.48	$42.66	$85.11