Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.43 / $123.76 / $192.91	Facility	26	$108.43	$123.76	$192.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.90 / $507.17 / $2,183.11	Professional		$413.90	$507.17	$2,183.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.73 / $138.60 / $656.00	Professional	26	$106.73	$138.60	$656.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $308.73 / $368.50 / $1,020.25	Professional	TC	$308.73	$368.50	$1,020.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $464.88 / $939.12	Professional		$354.37	$464.88	$939.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.04 / $113.18 / $187.39	Professional	26	$88.04	$113.18	$187.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.32 / $353.70 / $782.32	Professional	TC	$266.32	$353.70	$782.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $531.73 / $953.61	Professional		$293.58	$531.73	$953.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.70 / $121.40 / $211.14	Professional	26	$73.70	$121.40	$211.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.90 / $425.30 / $803.16	Professional	TC	$226.90	$425.30	$803.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $789.92 / $789.92	Facility	26	$618.08	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.19 / $577.95 / $3,014.38	Professional		$379.19	$577.95	$3,014.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.94 / $114.62 / $597.70	Professional	26	$86.94	$114.62	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.67 / $473.45 / $2,544.17	Professional	TC	$288.67	$473.45	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $378.37 / $473.89 / $796.49	Professional		$378.37	$473.89	$796.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.86 / $106.19 / $176.99	Professional	26	$81.86	$106.19	$176.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.44 / $415.22 / $707.51	Professional	TC	$282.44	$415.22	$707.51