Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.95 / $57.29 / $71.41	Facility	26	$27.95	$57.29	$71.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $79.06 / $202.15	Professional		$65.01	$79.06	$202.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $31.62 / $66.26	Professional	26	$27.83	$31.62	$66.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $175.64 / $197.14 / $406.09	Professional	50	$175.64	$197.14	$406.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.71 / $43.62 / $87.90	Professional	TC	$36.71	$43.62	$87.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $107.07 / $162.96	Professional		$89.82	$107.07	$162.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.03 / $42.86 / $67.58	Professional	26	$35.03	$42.86	$67.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.72 / $160.60 / $244.44	Professional	50	$134.72	$160.60	$244.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.16 / $64.16 / $98.40	Professional	TC	$53.16	$64.16	$98.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $36.24 / $36.24	Facility	26	$36.24	$36.24	$36.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $111.71 / $180.37	Professional		$62.66	$111.71	$180.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.74 / $43.66 / $80.89	Professional	26	$27.74	$43.66	$80.89
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.81 / $126.81 / $126.81	Professional	50	$126.81	$126.81	$126.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.79 / $65.65 / $121.17	Professional	TC	$36.79	$65.65	$121.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $74.77 / $145.31 / $145.31	Facility	26	$74.77	$145.31	$145.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $118.72 / $583.91	Professional		$86.20	$118.72	$583.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.13 / $44.08 / $335.18	Professional	26	$33.13	$44.08	$335.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.28 / $72.41 / $353.01	Professional	TC	$52.28	$72.41	$353.01
United Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $109.45 / $172.40	Professional		$83.21	$109.45	$172.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.60 / $38.88 / $63.91	Professional	26	$31.60	$38.88	$63.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.59 / $65.53 / $94.62	Professional	TC	$48.59	$65.53	$94.62