Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.44 / $170.76 / $225.06	Facility	26	$82.44	$170.76	$225.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.02 / $921.53 / $1,027.83	Professional		$783.02	$921.53	$1,027.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $700.58 / $827.88 / $920.32	Professional	TC	$700.58	$827.88	$920.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.01 / $873.38 / $1,548.88	Professional		$589.01	$873.38	$1,548.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $474.47 / $736.30 / $1,385.82	Professional	TC	$474.47	$736.30	$1,385.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.15 / $976.77 / $1,749.74	Professional		$567.15	$976.77	$1,749.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $564.41 / $830.26 / $1,573.53	Professional	TC	$564.41	$830.26	$1,573.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.06 / $451.11 / $451.11	Facility	26	$223.06	$451.11	$451.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.37 / $1,013.61 / $6,422.07	Professional		$511.37	$1,013.61	$6,422.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $570.79 / $898.52 / $5,800.59	Professional	TC	$570.79	$898.52	$5,800.59
United Facility/Professional Professional Modifier Low / Median / High Price $628.53 / $973.41 / $1,710.03	Professional		$628.53	$973.41	$1,710.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $403.46 / $843.09 / $1,405.24	Professional	TC	$403.46	$843.09	$1,405.24