Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $19.64 / $42.00	Facility		$17.42	$19.64	$42.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.33 / $2.60 / $12.00	Facility	26	$2.33	$2.60	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $29.01 / $85.00	Professional		$17.64	$29.01	$85.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.33 / $3.66 / $16.14	Professional	26	$2.33	$3.66	$16.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.71 / $9.98 / $15.76	Professional	52	$8.71	$9.98	$15.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.10 / $19.41 / $69.77	Professional	TC	$15.10	$19.41	$69.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $33.10 / $66.69	Professional		$21.63	$33.10	$66.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.32 / $5.07 / $21.00	Professional	26	$3.32	$5.07	$21.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.44 / $49.65 / $100.03	Professional	50	$32.44	$49.65	$100.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.52 / $27.27 / $47.76	Professional	TC	$17.52	$27.27	$47.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $97.15	Facility		$26.10	$26.10	$97.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.41 / $3.41 / $3.41	Facility	26	$3.41	$3.41	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $35.97 / $71.00	Professional		$20.63	$35.97	$71.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $5.35 / $16.70	Professional	26	$2.95	$5.35	$16.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.88 / $30.29 / $53.11	Professional	TC	$17.88	$30.29	$53.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $32.14 / $82.57	Facility		$19.20	$32.14	$82.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $13.48 / $100.00 / $100.00	Facility	26	$13.48	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $31.63 / $311.26	Professional		$20.14	$31.63	$311.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.93 / $4.50 / $129.00	Professional	26	$2.93	$4.50	$129.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $25.05 / $252.63	Professional	TC	$17.03	$25.05	$252.63
United Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $25.86 / $58.31	Professional		$19.02	$25.86	$58.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.86 / $3.69 / $11.24	Professional	26	$2.86	$3.69	$11.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.26 / $21.11 / $41.80	Professional	TC	$16.26	$21.11	$41.80