Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.72 / $120.26 / $126.63	Facility	26	$96.72	$120.26	$126.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.49 / $414.40 / $425.68	Professional		$335.49	$414.40	$425.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.72 / $120.27 / $122.72	Professional	26	$96.72	$120.27	$122.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.78 / $294.13 / $302.95	Professional	TC	$238.78	$294.13	$302.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.64 / $355.10 / $601.27	Professional		$262.64	$355.10	$601.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.71 / $124.84 / $207.74	Professional	26	$97.71	$124.84	$207.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $161.78 / $230.01 / $426.39	Professional	TC	$161.78	$230.01	$426.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.31 / $520.16 / $776.11	Professional		$344.31	$520.16	$776.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.05 / $165.89 / $279.99	Professional	26	$109.05	$165.89	$279.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $235.32 / $370.21 / $551.73	Professional	TC	$235.32	$370.21	$551.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $268.94 / $473.80 / $473.80	Facility	26	$268.94	$473.80	$473.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.55 / $555.54 / $2,710.64	Professional		$356.55	$555.54	$2,710.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $119.37 / $186.78 / $785.60	Professional	26	$119.37	$186.78	$785.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $226.71 / $368.76 / $1,925.04	Professional	TC	$226.71	$368.76	$1,925.04
United Facility/Professional Professional Modifier Low / Median / High Price $332.12 / $458.85 / $837.69	Professional		$332.12	$458.85	$837.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $148.58 / $289.16	Professional	26	$111.16	$148.58	$289.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.71 / $315.27 / $563.57	Professional	TC	$222.71	$315.27	$563.57