Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.51 / $501.83 / $671.08	Professional		$432.51	$501.83	$671.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.31 / $49.12 / $65.15	Professional	26	$42.31	$49.12	$65.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $390.20 / $452.70 / $605.92	Professional	TC	$390.20	$452.70	$605.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $550.58 / $946.84	Professional		$259.92	$550.58	$946.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $58.60 / $107.75	Professional	26	$24.34	$58.60	$107.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.58 / $499.13 / $854.91	Professional	TC	$235.58	$499.13	$854.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.96 / $397.85 / $1,240.15	Professional		$241.96	$397.85	$1,240.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.87 / $36.76 / $140.25	Professional	26	$26.87	$36.76	$140.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.13 / $351.44 / $1,103.80	Professional	TC	$213.13	$351.44	$1,103.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $255.86 / $255.86 / $255.86	Facility	26	$255.86	$255.86	$255.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.60 / $616.02 / $3,946.60	Professional		$353.60	$616.02	$3,946.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $63.94 / $363.38	Professional	26	$36.15	$63.94	$363.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $317.42 / $560.28 / $3,586.83	Professional	TC	$317.42	$560.28	$3,586.83
United Facility/Professional Professional Modifier Low / Median / High Price $347.32 / $571.87 / $1,161.42	Professional		$347.32	$571.87	$1,161.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.94 / $59.59 / $120.54	Professional	26	$34.94	$59.59	$120.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $313.77 / $512.14 / $1,095.34	Professional	TC	$313.77	$512.14	$1,095.34