Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.97 / $46.35 / $54.52	Facility	26	$43.97	$46.35	$54.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $352.65 / $638.79	Professional		$292.89	$352.65	$638.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $146.44 / $176.33 / $218.47	Professional	52	$146.44	$176.33	$218.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $308.39 / $569.08	Professional	TC	$252.77	$308.39	$569.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.27 / $328.82 / $557.26	Professional		$229.27	$328.82	$557.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.99 / $269.45 / $488.24	Professional	TC	$192.99	$269.45	$488.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.55 / $443.98 / $731.46	Professional		$275.55	$443.98	$731.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $285.38 / $391.87 / $643.98	Professional	TC	$285.38	$391.87	$643.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.98 / $201.33 / $201.33	Facility	26	$102.98	$201.33	$201.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.56 / $453.80 / $2,332.00	Professional		$298.56	$453.80	$2,332.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $253.42 / $393.41 / $2,048.28	Professional	TC	$253.42	$393.41	$2,048.28
United Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $429.13 / $737.32	Professional		$282.66	$429.13	$737.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.79 / $376.80 / $713.54	Professional	TC	$244.79	$376.80	$713.54