Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $53.70 / $70.79	Facility	26	$19.95	$53.70	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $213.80	Professional		$97.72	$131.83	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $107.15 / $199.53	Professional	TC	$79.43	$107.15	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $229.09	Professional		$109.65	$134.90	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $102.33 / $181.97	Professional	TC	$85.11	$102.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $194.98	Professional		$141.25	$158.49	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $131.83 / $165.96	Professional	TC	$109.65	$131.83	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $288.40	Professional		$100.00	$147.91	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $123.03 / $263.03	Professional	TC	$77.62	$123.03	$263.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $104.71 / $104.71	Facility	26	$54.95	$104.71	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $933.25	Professional		$107.15	$165.96	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $141.25 / $776.25	Professional	TC	$85.11	$141.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $229.09	Professional		$104.71	$134.90	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $107.15 / $190.55	Professional	TC	$83.18	$107.15	$190.55