Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.70 / $102.70 / $150.16	Facility	26	$102.70	$102.70	$150.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.08 / $933.82 / $987.18	Professional		$659.08	$933.82	$987.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $558.53 / $836.67 / $884.48	Professional	TC	$558.53	$836.67	$884.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $296.70 / $891.02	Professional		$296.70	$296.70	$891.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $157.60 / $157.60 / $776.48	Professional	TC	$157.60	$157.60	$776.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.33 / $775.06 / $1,512.27	Professional		$290.33	$775.06	$1,512.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.18 / $648.96 / $1,352.34	Professional	TC	$174.18	$648.96	$1,352.34
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $840.17 / $1,472.46	Professional		$487.20	$840.17	$1,472.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $405.72 / $750.38 / $1,292.08	Professional	TC	$405.72	$750.38	$1,292.08