Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $162.18	Professional		$45.71	$64.57	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.88 / $67.61	Professional	26	$15.85	$21.88	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $93.33	Professional	TC	$28.84	$40.74	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $60.26 / $117.49	Professional		$22.39	$60.26	$117.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $26.92 / $51.29	Professional	26	$9.77	$26.92	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $28.84 / $77.62	Professional	TC	$12.59	$28.84	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $131.83	Professional		$72.44	$79.43	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $46.77	Professional	26	$22.91	$30.90	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $51.29 / $91.20	Professional	TC	$39.81	$51.29	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $141.25	Professional		$30.90	$41.69	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.22 / $72.44	Professional	26	$12.02	$16.22	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $29.51 / $66.07	Professional	TC	$15.14	$29.51	$66.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $457.09	Professional		$43.65	$89.13	$457.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $36.31 / $158.49	Professional	26	$16.22	$36.31	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $58.88 / $302.00	Professional	TC	$27.54	$58.88	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $134.90	Professional		$43.65	$70.79	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $26.92 / $50.12	Professional	26	$15.14	$26.92	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $91.20	Professional	TC	$27.54	$42.66	$91.20