Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $38.15 / $52.29	Facility	26	$20.05	$38.15	$52.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $132.31 / $155.31	Professional		$112.53	$132.31	$155.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.76 / $108.49 / $129.15	Professional	TC	$92.76	$108.49	$129.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $135.69 / $228.87	Professional		$108.66	$135.69	$228.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.64 / $105.95 / $191.45	Professional	TC	$84.64	$105.95	$191.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $151.68 / $275.74	Professional		$99.14	$151.68	$275.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.27 / $124.30 / $230.95	Professional	TC	$80.27	$124.30	$230.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $54.81 / $104.46 / $104.46	Facility	26	$54.81	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $162.44 / $923.37	Professional		$112.28	$162.44	$923.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.44 / $134.09 / $778.42	Professional	TC	$90.44	$134.09	$778.42
United Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $140.68 / $243.94	Professional		$110.90	$140.68	$243.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.61 / $112.01 / $198.54	Professional	TC	$87.61	$112.01	$198.54