Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $97.72 / $97.72	Facility	26	$42.66	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $173.78	Professional		$81.28	$100.00	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $53.70 / $91.20	Professional	TC	$41.69	$53.70	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $194.98	Professional		$85.11	$144.54	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $72.44 / $100.00	Professional	TC	$43.65	$72.44	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $239.88	Professional		$104.71	$190.55	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $95.50 / $120.23	Professional	TC	$52.48	$95.50	$120.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $645.65	Professional		$128.82	$181.97	$645.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $89.13 / $354.81	Professional	TC	$58.88	$89.13	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $239.88	Professional		$181.97	$218.78	$239.88
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $97.72 / $125.89	Professional	26	$91.20	$97.72	$125.89
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $114.82 / $117.49	Professional	TC	$87.10	$114.82	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $223.87	Professional		$120.23	$199.53	$223.87
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $97.72 / $117.49	Professional	TC	$58.88	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $239.88	Professional		$109.65	$173.78	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $85.11 / $120.23	Professional	TC	$58.88	$85.11	$120.23