Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $56.23	Professional		$22.91	$25.70	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $20.89 / $25.70	Professional	26	$19.05	$20.89	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $25.70	Professional	TC	$3.02	$3.98	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $52.48	Professional		$22.91	$37.15	$52.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $43.65	Professional	26	$19.50	$30.90	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $5.89 / $8.32	Professional	TC	$3.63	$5.89	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $47.86 / $66.07	Professional		$19.05	$47.86	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $39.81 / $56.23	Professional	26	$16.60	$39.81	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.48 / $7.59 / $14.45	Professional	TC	$1.48	$7.59	$14.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $48.98 / $100.00	Professional		$23.44	$48.98	$100.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $36.31 / $158.49	Professional	26	$18.20	$36.31	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $7.41 / $218.78	Professional	TC	$3.89	$7.41	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $64.57	Professional		$48.98	$53.70	$64.57
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $47.86 / $54.95	Professional	26	$41.69	$47.86	$54.95
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $6.31 / $7.59 / $10.00	Professional	TC	$6.31	$7.59	$10.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $58.88	Professional		$50.12	$56.23	$58.88
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $46.77 / $50.12	Professional	26	$41.69	$46.77	$50.12
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $9.12 / $9.55	Professional	TC	$7.94	$9.12	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $69.18	Professional		$21.88	$42.66	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $33.88 / $51.29	Professional	26	$18.20	$33.88	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $6.61 / $33.11	Professional	TC	$3.89	$6.61	$33.11