Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.97 / $128.82 / $211.96	Facility	26	$81.97	$128.82	$211.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $144.46 / $571.29	Professional		$127.95	$144.46	$571.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.97 / $54.32 / $282.39	Professional	TC	$45.97	$54.32	$282.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $172.41 / $312.82	Professional		$140.15	$172.41	$312.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.59 / $55.21 / $132.90	Professional	TC	$43.59	$55.21	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $207.37 / $317.35	Professional		$125.87	$207.37	$317.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.33 / $75.34 / $113.88	Professional	TC	$41.33	$75.34	$113.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $219.19 / $425.13 / $425.13	Facility	26	$219.19	$425.13	$425.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $211.09 / $1,161.00	Professional		$149.15	$211.09	$1,161.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.01 / $74.18 / $585.04	Professional	TC	$50.01	$74.18	$585.04
United Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $191.90 / $319.88	Professional		$147.69	$191.90	$319.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.98 / $66.70 / $149.37	Professional	TC	$44.98	$66.70	$149.37