Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $79.43 / $127.89	Professional		$68.06	$79.43	$127.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $20.21 / $32.54	Professional	26	$17.82	$20.21	$32.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $57.78 / $95.34	Professional	TC	$50.22	$57.78	$95.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $99.13 / $143.69	Professional		$76.59	$99.13	$143.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.82 / $26.89 / $38.79	Professional	26	$20.82	$26.89	$38.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.77 / $71.23 / $104.90	Professional	TC	$55.77	$71.23	$104.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $79.77 / $138.03	Professional		$68.06	$79.77	$138.03
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $21.66 / $37.22	Professional	26	$17.82	$21.66	$37.22
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $59.30 / $103.58	Professional	TC	$50.22	$59.30	$103.58
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $106.79 / $178.11	Professional		$70.70	$106.79	$178.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $28.54 / $48.54	Professional	26	$20.22	$28.54	$48.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.49 / $76.28 / $129.57	Professional	TC	$50.49	$76.28	$129.57