Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $30.10 / $53.64	Professional		$24.08	$30.10	$53.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.02 / $25.64 / $34.53	Professional	26	$19.02	$25.64	$34.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.04 / $14.97 / $20.05	Professional	52	$12.04	$14.97	$20.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.29 / $4.45 / $27.60	Professional	TC	$3.29	$4.45	$27.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $49.00 / $98.60	Professional		$31.96	$49.00	$98.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $25.55 / $40.09	Professional	26	$18.38	$25.55	$40.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.42 / $23.08 / $59.06	Professional	TC	$3.42	$23.08	$59.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $36.40 / $122.15	Professional		$23.84	$36.40	$122.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $26.85 / $50.30	Professional	26	$19.70	$26.85	$50.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.37 / $5.58 / $86.85	Professional	TC	$3.37	$5.58	$86.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.67 / $57.67 / $112.04	Facility	26	$57.67	$57.67	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $43.06 / $303.81	Professional		$25.77	$43.06	$303.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $29.59 / $156.38	Professional	26	$16.09	$29.59	$156.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.68 / $10.16 / $211.93	Professional	TC	$3.68	$10.16	$211.93
United Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $37.25 / $70.81	Professional		$24.91	$37.25	$70.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.12 / $25.16 / $54.39	Professional	26	$15.12	$25.16	$54.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $5.58 / $29.23	Professional	TC	$3.60	$5.58	$29.23