Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.60 / $59.90 / $111.08	Facility	26	$48.60	$59.90	$111.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $95.59 / $517.00	Professional		$76.84	$95.59	$517.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.34 / $49.60 / $186.34	Professional	26	$41.34	$49.60	$186.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.51 / $45.78 / $160.16	Professional	TC	$35.51	$45.78	$160.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.66 / $108.60 / $240.64	Professional		$87.66	$108.60	$240.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.04 / $60.50 / $95.30	Professional	26	$49.04	$60.50	$95.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.61 / $49.02 / $145.33	Professional	TC	$38.61	$49.02	$145.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $133.50 / $227.12	Professional		$85.57	$133.50	$227.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.22 / $68.59 / $107.46	Professional	26	$47.22	$68.59	$107.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.69 / $66.06 / $149.19	Professional	TC	$40.69	$66.06	$149.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.07 / $262.14 / $262.14	Facility	26	$117.07	$262.14	$262.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $138.88 / $1,141.00	Professional		$94.73	$138.88	$1,141.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.19 / $62.80 / $493.68	Professional	26	$48.19	$62.80	$493.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.97 / $63.29 / $900.73	Professional	TC	$42.97	$63.29	$900.73
United Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $122.47 / $235.78	Professional		$86.15	$122.47	$235.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.19 / $60.57 / $110.10	Professional	26	$48.19	$60.57	$110.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.71 / $55.35 / $154.07	Professional	TC	$42.71	$55.35	$154.07