Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $194.98 / $426.58	Facility	26	$123.03	$194.98	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,479.11	Professional		$346.74	$478.63	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $354.81	Professional	26	$85.11	$123.03	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $363.08 / $794.33	Professional	TC	$257.04	$363.08	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $870.96	Professional		$354.81	$446.68	$870.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $112.20 / $177.83	Professional	26	$89.13	$112.20	$177.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $676.08 / $1,318.26	Professional	50	$537.03	$676.08	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $346.74 / $660.69	Professional	TC	$263.03	$346.74	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $549.54	Professional		$354.81	$371.54	$549.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $100.00 / $141.25	Professional	26	$89.13	$100.00	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $275.42 / $416.87	Professional	TC	$263.03	$275.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,000.00	Professional		$302.00	$524.81	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $120.23 / $218.78	Professional	26	$74.13	$120.23	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $407.38 / $794.33	Professional	TC	$239.88	$407.38	$794.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $794.33 / $794.33	Facility	26	$616.60	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $3,019.95	Professional		$346.74	$575.44	$3,019.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $851.14	Professional	26	$77.62	$120.23	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $467.74 / $2,570.40	Professional	TC	$263.03	$467.74	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $794.33	Professional		$346.74	$467.74	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $100.00 / $173.78	Professional	26	$79.43	$100.00	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $363.08 / $602.56	Professional	TC	$257.04	$363.08	$602.56