Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $28.18 / $45.71	Facility	26	$18.20	$28.18	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $81.28	Professional		$42.66	$53.70	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $28.18	Professional	26	$12.88	$15.85	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.90 / $54.95	Professional	TC	$28.84	$38.90	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $89.13	Professional		$39.81	$64.57	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $21.38 / $29.51	Professional	26	$13.18	$21.38	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $42.66 / $60.26	Professional	TC	$26.30	$42.66	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $112.20	Professional		$61.66	$91.20	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.20 / $36.31	Professional	26	$18.62	$30.20	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $61.66 / $79.43	Professional	TC	$42.66	$61.66	$79.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $79.43 / $79.43	Facility	26	$33.11	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $537.03	Professional		$77.62	$97.72	$537.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.84 / $91.20	Professional	26	$22.91	$28.84	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $66.07 / $218.78	Professional	TC	$53.70	$66.07	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $131.83	Professional		$83.18	$100.00	$131.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $30.20 / $39.81	Professional	26	$27.54	$30.20	$39.81
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $69.18 / $91.20	Professional	TC	$54.95	$69.18	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $107.15	Professional		$64.57	$93.33	$107.15
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.90 / $35.48	Professional	26	$19.05	$30.90	$35.48
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $61.66 / $70.79	Professional	TC	$45.71	$61.66	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $125.89	Professional		$74.13	$93.33	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.84 / $38.90	Professional	26	$22.91	$28.84	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $64.57 / $87.10	Professional	TC	$51.29	$64.57	$87.10