Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $100.00 / $138.04	Facility	26	$87.10	$100.00	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $741.31	Professional		$346.74	$446.68	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $112.20 / $218.78	Professional	26	$85.11	$112.20	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $537.03	Professional	TC	$257.04	$338.84	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $831.76	Professional		$380.19	$537.03	$831.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $114.82 / $181.97	Professional	26	$91.20	$114.82	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $562.34 / $794.33 / $1,230.27	Professional	50	$562.34	$794.33	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $416.87 / $645.65	Professional	TC	$295.12	$416.87	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,071.52	Professional		$331.13	$575.44	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $223.87	Professional	26	$75.86	$117.49	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $446.68 / $851.14	Professional	TC	$251.19	$446.68	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $794.33	Professional		$346.74	$489.78	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $95.50 / $162.18	Professional	26	$77.62	$95.50	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $389.05 / $645.65	Professional	TC	$263.03	$389.05	$645.65