Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $120.23 / $131.83	Facility	26	$95.50	$120.23	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $1,023.29	Professional		$316.23	$407.38	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $120.23 / $199.53	Professional	26	$95.50	$120.23	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $269.15 / $467.74	Professional	TC	$218.78	$269.15	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $616.60	Professional		$263.03	$363.08	$616.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $208.93	Professional	26	$100.00	$125.89	$208.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $229.09 / $426.58	Professional	TC	$162.18	$229.09	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $512.86	Professional		$323.59	$354.81	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $120.23 / $181.97	Professional	26	$107.15	$120.23	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $234.42 / $346.74	Professional	TC	$218.78	$234.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $741.31	Professional		$331.13	$489.78	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $154.88 / $239.88	Professional	26	$107.15	$154.88	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $346.74 / $489.78	Professional	TC	$218.78	$346.74	$489.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $478.63 / $478.63	Facility	26	$269.15	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $2,691.53	Professional		$331.13	$467.74	$2,691.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $165.96 / $794.33	Professional	26	$104.71	$165.96	$794.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $316.23 / $1,905.46	Professional	TC	$213.80	$316.23	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $776.25	Professional		$331.13	$446.68	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $147.91 / $245.47	Professional	26	$104.71	$147.91	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $295.12 / $537.03	Professional	TC	$218.78	$295.12	$537.03