Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.05 / $169.70 / $633.29	Professional		$150.05	$169.70	$633.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $20.11 / $183.47	Professional	26	$16.96	$20.11	$183.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.09 / $149.58 / $442.99	Professional	TC	$133.09	$149.58	$442.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $188.40 / $415.01	Professional		$64.54	$188.40	$415.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $36.61 / $119.34	Professional	26	$20.29	$36.61	$119.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $154.91 / $295.66	Professional	TC	$44.25	$154.91	$295.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $104.51 / $484.91	Professional		$74.20	$104.51	$484.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $26.51 / $131.27	Professional	26	$11.20	$26.51	$131.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.76 / $92.65 / $370.84	Professional	TC	$52.76	$92.65	$370.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $240.51 / $240.51 / $240.51	Facility	26	$240.51	$240.51	$240.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $215.05 / $1,336.58	Professional		$109.78	$215.05	$1,336.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $36.36 / $315.72	Professional	26	$15.59	$36.36	$315.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $94.19 / $166.26 / $1,188.97	Professional	TC	$94.19	$166.26	$1,188.97
United Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $182.97 / $334.44	Professional		$109.78	$182.97	$334.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.08 / $26.02 / $79.81	Professional	26	$15.08	$26.02	$79.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.69 / $142.09 / $273.39	Professional	TC	$92.69	$142.09	$273.39