Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.20 / $72.34 / $108.30	Facility	26	$72.20	$72.34	$108.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $298.70 / $1,169.00	Professional		$215.53	$298.70	$1,169.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $92.65 / $314.00	Professional	26	$62.78	$92.65	$314.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.75 / $185.42 / $431.56	Professional	TC	$152.75	$185.42	$431.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.61 / $279.80 / $430.17	Professional		$215.61	$279.80	$430.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.08 / $85.09 / $133.07	Professional	26	$65.08	$85.09	$133.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.69 / $192.95 / $290.27	Professional	TC	$144.69	$192.95	$290.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $69.50	Facility	26	$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.68 / $298.14 / $499.39	Professional		$214.68	$298.14	$499.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.13 / $89.80 / $149.11	Professional	26	$62.13	$89.80	$149.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.51 / $211.74 / $394.34	Professional	TC	$154.51	$211.74	$394.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $143.07 / $314.00 / $314.00	Facility	26	$143.07	$314.00	$314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $381.32 / $1,442.20	Professional		$237.47	$381.32	$1,442.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $114.72 / $507.29	Professional	26	$65.31	$114.72	$507.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $171.74 / $274.07 / $1,055.58	Professional	TC	$171.74	$274.07	$1,055.58
United Facility/Professional Professional Modifier Low / Median / High Price $229.71 / $335.74 / $552.07	Professional		$229.71	$335.74	$552.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $104.29 / $165.67	Professional	26	$64.73	$104.29	$165.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.64 / $245.10 / $403.62	Professional	TC	$166.64	$245.10	$403.62