Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $100.00	Professional		$44.67	$57.54	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $38.90	Professional	26	$15.85	$20.89	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.31 / $63.10	Professional	TC	$28.18	$36.31	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $61.66 / $125.89	Professional		$23.99	$61.66	$125.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $21.38 / $44.67	Professional	26	$8.51	$21.38	$44.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $37.15 / $81.28	Professional	TC	$15.85	$37.15	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $102.33	Professional		$58.88	$67.61	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $25.70 / $39.81	Professional	26	$22.91	$25.70	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $40.74 / $72.44	Professional	TC	$35.48	$40.74	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $154.88	Professional		$29.51	$37.15	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $54.95	Professional	26	$10.47	$13.80	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.44 / $100.00	Professional	TC	$18.62	$23.44	$100.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $436.52	Professional		$44.67	$75.86	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $29.51 / $158.49	Professional	26	$16.60	$29.51	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $50.12 / $281.84	Professional	TC	$28.18	$50.12	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $138.04	Professional		$40.74	$74.13	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $27.54 / $51.29	Professional	26	$14.79	$27.54	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $45.71 / $87.10	Professional	TC	$25.70	$45.71	$87.10