Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $253.62 / $340.90	Professional		$209.50	$253.62	$340.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $36.11 / $63.75	Professional	26	$30.24	$36.11	$63.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.31 / $216.58 / $293.02	Professional	TC	$168.31	$216.58	$293.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $283.87 / $480.97	Professional		$140.54	$283.87	$480.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $48.73 / $92.21	Professional	26	$18.43	$48.73	$92.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.11 / $235.33 / $413.43	Professional	TC	$122.11	$235.33	$413.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $162.31 / $506.83	Professional		$97.24	$162.31	$506.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $27.02 / $114.03	Professional	26	$20.07	$27.02	$114.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.90 / $144.02 / $414.81	Professional	TC	$74.90	$144.02	$414.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Facility	26	$183.18	$183.18	$183.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.34 / $338.20 / $2,077.04	Professional		$189.34	$338.20	$2,077.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $48.98 / $267.88	Professional	26	$27.72	$48.98	$267.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $155.33 / $292.79 / $1,809.15	Professional	TC	$155.33	$292.79	$1,809.15
United Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $318.79 / $632.02	Professional		$177.86	$318.79	$632.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $45.79 / $88.35	Professional	26	$26.85	$45.79	$88.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.99 / $269.99 / $541.50	Professional	TC	$147.99	$269.99	$541.50