Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.47 / $73.33 / $98.41	Facility	26	$37.47	$73.33	$98.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $196.38 / $228.07	Professional		$177.51	$196.38	$228.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.32 / $155.19 / $179.24	Professional	TC	$140.32	$155.19	$179.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.98 / $254.86 / $425.31	Professional		$206.98	$254.86	$425.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $201.28 / $357.22	Professional	TC	$162.18	$201.28	$357.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.58 / $313.14 / $457.89	Professional		$147.58	$313.14	$457.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.26 / $247.97 / $363.56	Professional	TC	$140.26	$247.97	$363.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.86 / $198.60 / $198.60	Facility	26	$101.86	$198.60	$198.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.36 / $297.82 / $1,396.18	Professional		$204.36	$297.82	$1,396.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.00 / $236.69 / $1,165.91	Professional	TC	$162.00	$236.69	$1,165.91
United Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $301.00 / $622.72	Professional		$196.42	$301.00	$622.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.76 / $221.88 / $364.09	Professional	TC	$156.76	$221.88	$364.09