Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.15 / $61.25 / $72.11	Facility	26	$58.15	$61.25	$72.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $140.91 / $557.36	Professional		$110.17	$140.91	$557.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.42 / $66.15 / $191.94	Professional	26	$57.42	$66.15	$191.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.75 / $68.80 / $330.42	Professional	TC	$52.75	$68.80	$330.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $192.88 / $327.19	Professional		$121.48	$192.88	$327.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.87 / $80.09 / $119.13	Professional	26	$62.87	$80.09	$119.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.86 / $104.48 / $201.50	Professional	TC	$58.86	$104.48	$201.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $200.25 / $320.20	Professional		$113.31	$200.25	$320.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.15 / $84.58 / $143.21	Professional	26	$58.15	$84.58	$143.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.47 / $100.52 / $204.00	Professional	TC	$55.47	$100.52	$204.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $139.35 / $352.88 / $352.88	Facility	26	$139.35	$352.88	$352.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $190.70 / $1,060.27	Professional		$124.87	$190.70	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.81 / $89.67 / $369.36	Professional	26	$58.81	$89.67	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $107.51 / $707.89	Professional	TC	$61.71	$107.51	$707.89
United Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $162.38 / $295.17	Professional		$124.87	$162.38	$295.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $78.08 / $135.69	Professional	26	$58.11	$78.08	$135.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.21 / $83.24 / $144.13	Professional	TC	$61.21	$83.24	$144.13