Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.66 / $60.76 / $71.50	Facility	26	$57.66	$60.76	$71.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $169.14 / $296.56	Professional		$154.00	$169.14	$296.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $60.76 / $101.28	Professional	26	$53.70	$60.76	$101.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.37 / $108.37 / $206.54	Professional	TC	$99.37	$108.37	$206.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $208.98 / $306.64	Professional		$161.81	$208.98	$306.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $72.37 / $106.45	Professional	26	$60.00	$72.37	$106.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.69 / $133.60 / $213.66	Professional	TC	$96.69	$133.60	$213.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $66.70 / $66.70	Facility	26	$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.57 / $411.57 / $683.79	Professional		$286.57	$411.57	$683.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.06 / $81.64 / $139.69	Professional	26	$57.06	$81.64	$139.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.19 / $333.74 / $558.90	Professional	TC	$231.19	$333.74	$558.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.77 / $261.89 / $261.89	Facility	26	$134.77	$261.89	$261.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $422.06 / $1,731.57	Professional		$285.49	$422.06	$1,731.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.54 / $85.50 / $367.94	Professional	26	$55.54	$85.50	$367.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $228.10 / $348.00 / $1,410.54	Professional	TC	$228.10	$348.00	$1,410.54
United Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $376.31 / $683.53	Professional		$285.58	$376.31	$683.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.81 / $76.19 / $149.27	Professional	26	$53.81	$76.19	$149.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.10 / $307.20 / $582.90	Professional	TC	$228.10	$307.20	$582.90