Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.23 / $217.44 / $217.44	Professional		$199.23	$217.44	$217.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.11 / $81.78 / $81.78	Professional	26	$78.11	$81.78	$81.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.14 / $135.69 / $271.74	Professional	TC	$121.14	$135.69	$271.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $154.58 / $228.26	Professional		$119.80	$154.58	$228.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.99 / $58.72 / $84.56	Professional	26	$43.99	$58.72	$84.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.73 / $95.86 / $143.69	Professional	TC	$77.73	$95.86	$143.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.23 / $217.44 / $217.44	Professional		$199.23	$217.44	$217.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $78.11 / $81.78 / $81.78	Professional	26	$78.11	$81.78	$81.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $121.14 / $135.69 / $271.74	Professional	TC	$121.14	$135.69	$271.74
United Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $166.68 / $289.58	Professional		$115.70	$166.68	$289.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $62.15 / $106.93	Professional	26	$44.53	$62.15	$106.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.17 / $105.27 / $182.65	Professional	TC	$71.17	$105.27	$182.65