Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.45 / $77.45 / $101.22	Facility	26	$77.45	$77.45	$101.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.44 / $341.44 / $1,008.64	Professional		$276.44	$341.44	$1,008.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.45 / $96.33 / $264.58	Professional	26	$77.45	$96.33	$264.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.98 / $245.11 / $726.83	Professional	TC	$198.98	$245.11	$726.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.93 / $358.68 / $577.38	Professional		$268.93	$358.68	$577.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.40 / $112.00 / $165.46	Professional	26	$88.40	$112.00	$165.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.70 / $258.00 / $403.90	Professional	TC	$182.70	$258.00	$403.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.91 / $453.35 / $951.00	Professional		$286.91	$453.35	$951.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.26 / $132.88 / $238.62	Professional	26	$86.26	$132.88	$238.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.39 / $323.48 / $674.71	Professional	TC	$207.39	$323.48	$674.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $215.81 / $378.47 / $378.47	Facility	26	$215.81	$378.47	$378.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.72 / $510.10 / $2,227.92	Professional		$326.72	$510.10	$2,227.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $95.71 / $154.11 / $684.00	Professional	26	$95.71	$154.11	$684.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $230.25 / $357.02 / $1,600.96	Professional	TC	$230.25	$357.02	$1,600.96
United Facility/Professional Professional Modifier Low / Median / High Price $304.87 / $437.29 / $711.49	Professional		$304.87	$437.29	$711.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.70 / $127.51 / $236.37	Professional	26	$87.70	$127.51	$236.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.26 / $284.75 / $492.65	Professional	TC	$208.26	$284.75	$492.65