Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $389.05	Professional		$186.21	$213.80	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.02 / $47.86	Professional	26	$25.70	$38.02	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $165.96 / $251.19	Professional	TC	$158.49	$165.96	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $436.52	Professional		$295.12	$436.52	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $64.57	Professional	26	$43.65	$64.57	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $371.54 / $371.54	Professional	TC	$251.19	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $537.03 / $724.44	Professional		$213.80	$537.03	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $79.43 / $95.50	Professional	26	$33.88	$79.43	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $467.74 / $630.96	Professional	TC	$186.21	$467.74	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $2,089.30	Professional		$190.55	$316.23	$2,089.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $44.67 / $269.15	Professional	26	$26.92	$44.67	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $275.42 / $1,819.70	Professional	TC	$144.54	$275.42	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $724.44	Professional		$478.63	$562.34	$724.44
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $81.28 / $100.00	Professional	26	$70.79	$81.28	$100.00
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $478.63 / $630.96	Professional	TC	$407.38	$478.63	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $724.44	Professional		$602.56	$602.56	$724.44
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $100.00	Professional	26	$93.33	$93.33	$100.00
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $512.86 / $630.96	Professional	TC	$512.86	$512.86	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $562.34	Professional		$190.55	$316.23	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $44.67 / $89.13	Professional	26	$38.90	$44.67	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $275.42 / $426.58	Professional	TC	$144.54	$275.42	$426.58