Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $616.60	Professional		$302.00	$363.08	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $41.69 / $128.82	Professional	26	$30.90	$41.69	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $537.03	Professional	TC	$263.03	$323.59	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $398.11 / $794.33	Professional		$162.18	$398.11	$794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $46.77 / $95.50	Professional	26	$18.20	$46.77	$95.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $346.74 / $707.95	Professional	TC	$144.54	$346.74	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $660.69	Professional		$354.81	$602.56	$660.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $79.43	Professional	26	$43.65	$58.88	$79.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $537.03 / $588.84	Professional	TC	$316.23	$537.03	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $1,047.13	Professional		$186.21	$269.15	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $25.70 / $128.82	Professional	26	$22.39	$25.70	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $234.42 / $912.01	Professional	TC	$165.96	$234.42	$912.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $2,754.23	Professional		$269.15	$501.19	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $54.95 / $309.03	Professional	26	$30.20	$54.95	$309.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $457.09 / $2,454.71	Professional	TC	$239.88	$457.09	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $870.96	Professional		$245.47	$436.52	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $50.12 / $93.33	Professional	26	$29.51	$50.12	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $389.05 / $776.25	Professional	TC	$218.78	$389.05	$776.25