Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.36 / $27.77 / $32.68	Facility	26	$26.36	$27.77	$32.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.08 / $161.19 / $200.05	Professional		$136.08	$161.19	$200.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.03 / $134.51 / $167.52	Professional	TC	$110.03	$134.51	$167.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $132.71 / $229.10	Professional		$80.05	$132.71	$229.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.74 / $106.84 / $184.16	Professional	TC	$51.74	$106.84	$184.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $186.23 / $304.55	Professional		$92.55	$186.23	$304.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.40 / $160.41 / $256.81	Professional	TC	$97.40	$160.41	$256.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.61 / $121.12 / $121.12	Facility	26	$62.61	$121.12	$121.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $189.24 / $964.87	Professional		$104.63	$189.24	$964.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.77 / $150.82 / $798.40	Professional	TC	$81.77	$150.82	$798.40
United Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $165.85 / $316.57	Professional		$107.30	$165.85	$316.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.77 / $133.40 / $251.29	Professional	TC	$81.77	$133.40	$251.29