Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.69 / $102.10 / $136.83	Facility	26	$39.69	$102.10	$136.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $80.00 / $155.05	Professional		$71.40	$80.00	$155.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.78 / $45.22 / $195.00	Professional	26	$38.78	$45.22	$195.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.42 / $40.31 / $90.03	Professional	TC	$24.42	$40.31	$90.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $126.42 / $172.03	Professional		$75.68	$126.42	$172.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.60 / $62.81 / $85.45	Professional	26	$37.60	$62.81	$85.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $63.61 / $86.56	Professional	TC	$38.09	$63.61	$86.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $157.72 / $197.60	Professional		$90.97	$157.72	$197.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.51 / $85.95 / $104.69	Professional	26	$53.51	$85.95	$104.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $65.04 / $99.57	Professional	TC	$33.47	$65.04	$99.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $204.09 / $204.09	Facility	26	$95.51	$204.09	$204.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $142.47 / $676.25	Professional		$116.91	$142.47	$676.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.41 / $86.49 / $271.97	Professional	26	$67.41	$86.49	$271.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.35 / $58.78 / $290.20	Professional	TC	$40.35	$58.78	$290.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $149.65 / $196.02	Professional		$102.69	$149.65	$196.02
United Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $146.13 / $200.80	Professional		$120.48	$146.13	$200.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.52 / $82.15 / $103.34	Professional	26	$69.52	$82.15	$103.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $59.45 / $101.18	Professional	TC	$44.39	$59.45	$101.18