Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $5.25 / $5.25	Facility	26	$2.00	$5.25	$5.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $36.31	Professional		$12.88	$22.91	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $6.61	Professional	26	$2.00	$3.98	$6.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $15.85 / $27.54	Professional	TC	$10.96	$15.85	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $29.51	Professional		$13.18	$21.38	$29.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.29 / $3.80 / $5.25	Professional	26	$2.29	$3.80	$5.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.78 / $24.55	Professional	TC	$10.72	$17.78	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $56.23	Professional		$25.12	$33.88	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $6.31 / $10.96	Professional	26	$4.79	$6.31	$10.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.18 / $43.65	Professional	TC	$19.50	$28.18	$43.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $100.00 / $100.00	Facility	26	$5.89	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $162.18	Professional		$25.12	$39.81	$162.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.12 / $53.70	Professional	26	$6.03	$9.12	$53.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.90 / $128.82	Professional	TC	$22.39	$30.90	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $51.29	Professional		$28.18	$37.15	$51.29
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $7.76 / $10.96	Professional	26	$5.01	$7.76	$10.96
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.84 / $40.74	Professional	TC	$23.44	$28.84	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $6.92 / $9.77	Professional	26	$5.62	$6.92	$9.77
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $26.92 / $36.31	Professional	TC	$25.70	$26.92	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $51.29	Professional		$22.91	$33.88	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $7.59 / $10.96	Professional	26	$4.68	$7.59	$10.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.54 / $39.81	Professional	TC	$18.20	$27.54	$39.81