Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.41 / $238.62 / $337.95	Facility	26	$125.41	$238.62	$337.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $435.47 / $1,436.80	Professional		$317.47	$435.47	$1,436.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.41 / $147.47 / $479.41	Professional	26	$125.41	$147.47	$479.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $287.99 / $549.70	Professional	TC	$185.65	$287.99	$549.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.55 / $416.10 / $736.58	Professional		$353.55	$416.10	$736.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.24 / $182.61 / $301.95	Professional	26	$149.24	$182.61	$301.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.31 / $231.79 / $488.50	Professional	TC	$204.31	$231.79	$488.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.88 / $515.11 / $887.40	Professional		$367.88	$515.11	$887.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $148.04 / $212.68 / $326.89	Professional	26	$148.04	$212.68	$326.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.78 / $299.69 / $526.67	Professional	TC	$216.78	$299.69	$526.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $357.19 / $697.88 / $697.88	Facility	26	$357.19	$697.88	$697.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.20 / $489.02 / $2,872.34	Professional		$358.20	$489.02	$2,872.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $148.13 / $181.91 / $948.42	Professional	26	$148.13	$181.91	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $210.80 / $292.08 / $1,923.92	Professional	TC	$210.80	$292.08	$1,923.92
United Facility/Professional Professional Modifier Low / Median / High Price $354.93 / $488.26 / $793.72	Professional		$354.93	$488.26	$793.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $148.13 / $181.91 / $322.33	Professional	26	$148.13	$181.91	$322.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.80 / $287.87 / $681.66	Professional	TC	$210.80	$287.87	$681.66