Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.73 / $118.81 / $193.84	Facility	26	$109.73	$118.81	$193.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.91 / $503.39 / $1,523.75	Professional		$410.91	$503.39	$1,523.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.62 / $135.80 / $362.12	Professional	26	$105.62	$135.80	$362.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $305.00 / $379.12 / $972.99	Professional	TC	$305.00	$379.12	$972.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.78 / $465.83 / $941.48	Professional		$354.78	$465.83	$941.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.76 / $114.00 / $189.59	Professional	26	$88.76	$114.00	$189.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $532.16 / $698.74 / $1,412.22	Professional	50	$532.16	$698.74	$1,412.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.01 / $353.30 / $782.90	Professional	TC	$266.01	$353.30	$782.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.37 / $97.37 / $97.37	Facility	26	$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $527.77 / $954.80	Professional		$291.69	$527.77	$954.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.44 / $121.98 / $210.57	Professional	26	$74.44	$121.98	$210.57
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $507.23 / $507.23 / $507.23	Professional	50	$507.23	$507.23	$507.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.33 / $423.37 / $802.60	Professional	TC	$224.33	$423.37	$802.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $620.48 / $795.52 / $795.52	Facility	26	$620.48	$795.52	$795.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.90 / $578.66 / $3,018.44	Professional		$379.90	$578.66	$3,018.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.43 / $115.53 / $850.86	Professional	26	$87.43	$115.53	$850.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.33 / $472.88 / $2,546.60	Professional	TC	$288.33	$472.88	$2,546.60
United Facility/Professional Professional Modifier Low / Median / High Price $353.39 / $485.62 / $842.38	Professional		$353.39	$485.62	$842.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.83 / $107.26 / $174.86	Professional	26	$82.83	$107.26	$174.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.56 / $361.55 / $607.47	Professional	TC	$270.56	$361.55	$607.47