Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $45.88 / $229.38	Facility		$6.88	$45.88	$229.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $10.56 / $17.38	Facility	26	$6.76	$10.56	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $13.27 / $35.39	Professional		$9.91	$13.27	$35.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.26 / $36.53	Professional	26	$6.76	$8.26	$36.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.04 / $11.04 / $12.27	Professional	50	$11.04	$11.04	$12.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.15 / $3.84 / $7.30	Professional	TC	$3.15	$3.84	$7.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $15.74 / $23.62	Professional		$11.98	$15.74	$23.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $10.61 / $16.98	Professional	26	$7.89	$10.61	$16.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $17.97 / $23.61 / $35.43	Professional	50	$17.97	$23.61	$35.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.28 / $4.80 / $7.07	Professional	TC	$3.28	$4.80	$7.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $15.59 / $114.61	Facility		$11.09	$15.59	$114.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $15.66 / $27.77	Professional		$9.73	$15.66	$27.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $10.88 / $19.72	Professional	26	$6.77	$10.88	$19.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $5.07 / $8.36	Professional	TC	$2.88	$5.07	$8.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $16.67 / $34.88	Facility		$10.16	$16.67	$34.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $100.00 / $100.00	Facility	26	$17.60	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $15.98 / $1,428.44	Professional		$11.86	$15.98	$1,428.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $10.66 / $1,274.28	Professional	26	$8.19	$10.66	$1,274.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.46 / $5.29 / $988.10	Professional	TC	$3.46	$5.29	$988.10
United Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $81.86 / $157.94	Facility		$77.47	$81.86	$157.94
United Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $13.94 / $23.61	Professional		$11.63	$13.94	$23.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.69 / $17.11	Professional	26	$7.79	$9.69	$17.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.35 / $4.54 / $7.83	Professional	TC	$3.35	$4.54	$7.83