Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $67.59 / $89.81	Facility	26	$34.79	$67.59	$89.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $106.08 / $155.76	Professional		$89.42	$106.08	$155.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.18 / $66.75 / $115.80	Professional	TC	$56.18	$66.75	$115.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $128.37 / $290.70	Professional		$89.91	$128.37	$290.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.50 / $74.72 / $204.65	Professional	TC	$49.50	$74.72	$204.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $157.22 / $285.85	Professional		$82.27	$157.22	$285.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.76 / $97.33 / $203.55	Professional	TC	$51.76	$97.33	$203.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $94.01 / $180.13 / $180.13	Facility	26	$94.01	$180.13	$180.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $169.59 / $1,114.04	Professional		$99.43	$169.59	$1,114.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.14 / $105.65 / $909.46	Professional	TC	$57.14	$105.65	$909.46
United Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $138.51 / $217.18	Professional		$93.67	$138.51	$217.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.85 / $76.62 / $139.29	Professional	TC	$53.85	$76.62	$139.29