Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.74 / $35.81 / $63.59	Facility	26	$24.74	$35.81	$63.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $91.05 / $155.77	Professional		$75.76	$91.05	$155.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.33 / $60.00 / $90.23	Professional	TC	$51.33	$60.00	$90.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $108.25 / $197.39	Professional		$86.19	$108.25	$197.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.41 / $70.00 / $139.00	Professional	TC	$55.41	$70.00	$139.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $119.52 / $208.30	Professional		$70.65	$119.52	$208.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.28 / $87.60 / $156.81	Professional	TC	$49.28	$87.60	$156.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.91 / $124.11 / $124.11	Facility	26	$64.91	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $129.85 / $673.71	Professional		$89.33	$129.85	$673.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $58.37 / $93.55 / $514.25	Professional	TC	$58.37	$93.55	$514.25
United Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $115.27 / $179.61	Professional		$84.92	$115.27	$179.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.36 / $80.98 / $122.78	Professional	TC	$57.36	$80.98	$122.78