Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $2,485.00 / $7,365.00	Facility		$851.00	$2,485.00	$7,365.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.76 / $142.71 / $283.93	Facility	26	$114.76	$142.71	$283.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.45 / $437.97 / $822.89	Professional		$354.45	$437.97	$822.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.76 / $142.71 / $342.63	Professional	26	$114.76	$142.71	$342.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.40 / $276.93 / $477.05	Professional	TC	$237.40	$276.93	$477.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.54 / $387.71 / $655.57	Professional		$292.54	$387.71	$655.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $115.91 / $148.08 / $246.85	Professional	26	$115.91	$148.08	$246.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.69 / $239.08 / $428.50	Professional	TC	$166.69	$239.08	$428.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.53 / $549.54 / $829.43	Professional		$362.53	$549.54	$829.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.69 / $195.44 / $327.05	Professional	26	$128.69	$195.44	$327.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.84 / $371.31 / $561.51	Professional	TC	$236.84	$371.31	$561.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $653.41 / $1,972.00	Facility		$291.14	$653.41	$1,972.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $319.48 / $564.64 / $564.64	Facility	26	$319.48	$564.64	$564.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $385.08 / $602.12 / $2,844.40	Professional		$385.08	$602.12	$2,844.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $141.43 / $221.98 / $930.32	Professional	26	$141.43	$221.98	$930.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $229.78 / $380.14 / $1,914.08	Professional	TC	$229.78	$380.14	$1,914.08
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,729.00 / $2,664.00	Facility		$899.00	$1,729.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.08 / $548.65 / $1,066.35	Professional		$385.08	$548.65	$1,066.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $135.16 / $182.50 / $320.80	Professional	26	$135.16	$182.50	$320.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $227.40 / $315.58 / $565.29	Professional	TC	$227.40	$315.58	$565.29