Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.56 / $17.23 / $19.89	Facility	26	$15.56	$17.23	$19.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $49.07 / $62.57	Professional		$26.23	$49.07	$62.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $15.86 / $20.66	Professional	26	$13.75	$15.86	$20.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $33.51 / $42.25	Professional	TC	$12.47	$33.51	$42.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $33.04 / $69.91	Professional		$26.25	$33.04	$69.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.60 / $17.48 / $27.55	Professional	26	$14.60	$17.48	$27.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.39 / $13.98 / $40.50	Professional	TC	$11.39	$13.98	$40.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $50.32 / $83.88	Professional		$31.29	$50.32	$83.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.52 / $20.65 / $35.71	Professional	26	$14.52	$20.65	$35.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $30.04 / $51.19	Professional	TC	$14.12	$30.04	$51.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.90 / $33.90 / $80.00	Facility	26	$33.90	$33.90	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $49.90 / $306.10	Professional		$26.79	$49.90	$306.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $21.04 / $93.99	Professional	26	$13.62	$21.04	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $30.30 / $212.11	Professional	TC	$11.69	$30.30	$212.11
United Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $46.15 / $84.85	Professional		$24.66	$46.15	$84.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $19.60 / $35.61	Professional	26	$13.50	$19.60	$35.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.92 / $27.57 / $51.11	Professional	TC	$12.92	$27.57	$51.11