Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $96.17 / $194.12	Professional		$83.67	$96.17	$194.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.25 / $49.35	Professional	26	$23.99	$28.25	$49.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.69 / $67.92 / $144.75	Professional	TC	$59.69	$67.92	$144.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $176.30 / $465.42	Professional		$101.12	$176.30	$465.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $51.45 / $126.24	Professional	26	$24.10	$51.45	$126.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.20 / $108.04 / $339.19	Professional	TC	$71.20	$108.04	$339.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $114.00 / $511.49	Professional		$49.65	$114.00	$511.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $35.36 / $181.67	Professional	26	$15.80	$35.36	$181.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.64 / $81.92 / $329.82	Professional	TC	$34.64	$81.92	$329.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $256.47 / $256.47 / $256.47	Facility	26	$256.47	$256.47	$256.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $206.26 / $1,210.67	Professional		$69.08	$206.26	$1,210.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $58.53 / $360.79	Professional	26	$21.44	$58.53	$360.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $133.63 / $914.18	Professional	TC	$47.64	$133.63	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $115.13 / $248.73	Professional		$66.97	$115.13	$248.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.65 / $35.86 / $80.34	Professional	26	$20.65	$35.86	$80.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $76.86 / $195.02	Professional	TC	$47.64	$76.86	$195.02