Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.03 / $12.67 / $14.92	Facility	26	$12.03	$12.67	$14.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $42.57 / $74.64	Professional		$37.11	$42.57	$74.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.67 / $18.44	Professional	26	$11.24	$12.67	$18.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $29.92 / $48.42	Professional	TC	$25.18	$29.92	$48.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $41.76 / $66.84	Professional		$34.86	$41.76	$66.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $13.26 / $20.82	Professional	26	$10.83	$13.26	$20.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.60 / $28.84 / $47.09	Professional	TC	$23.60	$28.84	$47.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $54.66 / $85.91	Professional		$39.54	$54.66	$85.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.13 / $16.72 / $27.29	Professional	26	$12.13	$16.72	$27.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.46 / $38.61 / $59.68	Professional	TC	$27.46	$38.61	$59.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.55 / $28.55 / $80.00	Facility	26	$28.55	$28.55	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $52.68 / $251.93	Professional		$37.35	$52.68	$251.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $16.45 / $76.73	Professional	26	$11.38	$16.45	$76.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $35.79 / $175.19	Professional	TC	$25.66	$35.79	$175.19
United Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $50.25 / $84.96	Professional		$35.28	$50.25	$84.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.88 / $15.64 / $27.80	Professional	26	$10.88	$15.64	$27.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.94 / $34.19 / $56.48	Professional	TC	$24.94	$34.19	$56.48