Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.45 / $352.80 / $518.52	Professional		$313.45	$352.80	$518.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.28 / $40.70 / $53.98	Professional	26	$35.28	$40.70	$53.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $278.17 / $312.10 / $976.14	Professional	TC	$278.17	$312.10	$976.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $462.49 / $774.67	Professional		$216.72	$462.49	$774.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $49.54 / $95.73	Professional	26	$20.88	$49.54	$95.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.84 / $405.33 / $678.94	Professional	TC	$195.84	$405.33	$678.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.69 / $266.87 / $1,067.07	Professional		$191.69	$266.87	$1,067.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.40 / $25.77 / $124.59	Professional	26	$22.40	$25.77	$124.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.41 / $242.42 / $883.50	Professional	TC	$167.41	$242.42	$883.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.45 / $213.45 / $213.45	Facility	26	$213.45	$213.45	$213.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $502.53 / $2,779.34	Professional		$270.24	$502.53	$2,779.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $53.96 / $306.82	Professional	26	$30.53	$53.96	$306.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $239.68 / $452.39 / $2,481.83	Professional	TC	$239.68	$452.39	$2,481.83
United Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $437.14 / $931.79	Professional		$246.11	$437.14	$931.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.29 / $50.42 / $100.38	Professional	26	$29.29	$50.42	$100.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.95 / $386.72 / $831.41	Professional	TC	$217.95	$386.72	$831.41