Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.16 / $34.79 / $66.58	Facility	26	$26.16	$34.79	$66.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $70.52 / $145.99	Professional		$58.35	$70.52	$145.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.02 / $28.70 / $48.36	Professional	26	$26.02	$28.70	$48.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.54 / $75.54 / $75.54	Professional	50	$75.54	$75.54	$75.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.49 / $31.87 / $41.30	Professional	52	$27.49	$31.87	$41.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $39.14 / $68.37	Professional	TC	$30.92	$39.14	$68.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $82.30 / $134.29	Professional		$60.92	$82.30	$134.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $37.11 / $56.41	Professional	26	$30.39	$37.11	$56.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.38 / $123.45 / $201.43	Professional	50	$91.38	$123.45	$201.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.53 / $44.50 / $84.87	Professional	TC	$30.53	$44.50	$84.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $91.35 / $147.49	Professional		$54.62	$91.35	$147.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.46 / $39.08 / $69.09	Professional	26	$24.46	$39.08	$69.09
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.56 / $85.56 / $85.56	Professional	50	$85.56	$85.56	$85.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $52.74 / $89.45	Professional	TC	$28.94	$52.74	$89.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $69.53 / $136.22 / $136.22	Facility	26	$69.53	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $90.26 / $497.00	Professional		$66.30	$90.26	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $38.61 / $320.31	Professional	26	$28.59	$38.61	$320.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $50.41 / $320.31	Professional	TC	$36.09	$50.41	$320.31
United Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $76.78 / $127.02	Professional		$62.99	$76.78	$127.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $34.18 / $60.35	Professional	26	$28.18	$34.18	$60.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.20 / $43.97 / $72.18	Professional	TC	$33.20	$43.97	$72.18