Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $177.83	Professional		$77.62	$107.15	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $18.20 / $43.65	Professional	26	$14.13	$18.20	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $87.10 / $144.54	Professional	TC	$60.26	$87.10	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $186.21	Professional		$89.13	$100.00	$186.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.44 / $38.02	Professional	26	$18.20	$23.44	$38.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $75.86 / $147.91	Professional	TC	$60.26	$75.86	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $151.36	Professional		$109.65	$123.03	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.89 / $31.62	Professional	26	$20.42	$20.89	$31.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $102.33 / $128.82	Professional	TC	$87.10	$102.33	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $223.87	Professional		$66.07	$112.20	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $25.70 / $46.77	Professional	26	$15.85	$25.70	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $91.20 / $186.21	Professional	TC	$50.12	$91.20	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $758.58	Professional		$77.62	$131.83	$758.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $26.92 / $204.17	Professional	26	$17.78	$26.92	$204.17
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $109.65 / $630.96	Professional	TC	$58.88	$109.65	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $190.55	Professional		$72.44	$109.65	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.38 / $36.31	Professional	26	$17.38	$21.38	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $89.13 / $158.49	Professional	TC	$56.23	$89.13	$158.49