Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $198.73 / $664.40	Professional		$179.84	$198.73	$664.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.23 / $104.72 / $484.17	Professional	26	$88.23	$104.72	$484.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.47 / $92.99 / $175.91	Professional	TC	$89.47	$92.99	$175.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $299.42 / $506.95	Professional		$109.06	$299.42	$506.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $184.89 / $283.10	Professional	26	$51.84	$184.89	$283.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.00 / $103.34 / $254.98	Professional	TC	$39.00	$103.34	$254.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $152.69 / $657.07	Professional		$109.82	$152.69	$657.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.50 / $81.95 / $419.99	Professional	26	$58.50	$81.95	$419.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.30 / $71.52 / $277.91	Professional	TC	$50.30	$71.52	$277.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $579.90 / $579.90 / $579.90	Facility	26	$579.90	$579.90	$579.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $322.36 / $1,548.81	Professional		$144.22	$322.36	$1,548.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.34 / $172.71 / $832.85	Professional	26	$80.34	$172.71	$832.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $149.05 / $785.37	Professional	TC	$63.88	$149.05	$785.37
United Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $235.91 / $480.72	Professional		$141.01	$235.91	$480.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.89 / $132.85 / $267.77	Professional	26	$77.89	$132.85	$267.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $103.06 / $205.39	Professional	TC	$63.88	$103.06	$205.39