Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.61 / $117.65 / $148.12	Facility	26	$94.61	$117.65	$148.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $413.29 / $861.63	Professional		$312.81	$413.29	$861.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.61 / $117.66 / $289.39	Professional	26	$94.61	$117.66	$289.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $220.39 / $374.97 / $374.97	Professional	52	$220.39	$374.97	$374.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.43 / $295.63 / $546.23	Professional	TC	$229.43	$295.63	$546.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.24 / $367.20 / $603.65	Professional		$262.24	$367.20	$603.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.14 / $122.81 / $200.79	Professional	26	$96.14	$122.81	$200.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.74 / $237.41 / $429.05	Professional	TC	$162.74	$237.41	$429.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.03 / $518.78 / $781.86	Professional		$342.03	$518.78	$781.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.31 / $162.29 / $276.29	Professional	26	$106.31	$162.29	$276.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.72 / $372.09 / $554.97	Professional	TC	$236.72	$372.09	$554.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $265.11 / $463.23 / $463.23	Facility	26	$265.11	$463.23	$463.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.71 / $561.94 / $2,698.08	Professional		$358.71	$561.94	$2,698.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $117.21 / $183.43 / $770.56	Professional	26	$117.21	$183.43	$770.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $227.16 / $378.51 / $1,927.52	Professional	TC	$227.16	$378.51	$1,927.52
United Facility/Professional Professional Modifier Low / Median / High Price $342.86 / $474.24 / $851.30	Professional		$342.86	$474.24	$851.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.72 / $158.44 / $293.08	Professional	26	$110.72	$158.44	$293.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.72 / $321.08 / $561.86	Professional	TC	$226.72	$321.08	$561.86