Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $13.49 / $22.20	Facility	26	$8.53	$13.49	$22.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $30.02 / $156.00	Professional		$25.76	$30.02	$156.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.39 / $41.60	Professional	26	$8.48	$9.39	$41.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $20.34 / $59.07	Professional	TC	$17.28	$20.34	$59.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $37.29 / $61.00	Professional		$30.32	$37.29	$61.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $13.30 / $22.09	Professional	26	$10.05	$13.30	$22.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $25.30 / $40.79	Professional	TC	$18.52	$25.30	$40.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $41.07 / $67.04	Professional		$25.33	$41.07	$67.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $13.97 / $21.35	Professional	26	$8.40	$13.97	$21.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $27.11 / $45.68	Professional	TC	$16.11	$27.11	$45.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $80.00 / $80.00	Facility	26	$22.21	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $45.98 / $197.88	Professional		$27.91	$45.98	$197.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $15.48 / $232.03	Professional	26	$8.86	$15.48	$232.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $30.33 / $142.29	Professional	TC	$18.87	$30.33	$142.29
United Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $36.72 / $70.89	Professional		$25.68	$36.72	$70.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.42 / $14.07 / $34.61	Professional	26	$8.42	$14.07	$34.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $25.95 / $54.45	Professional	TC	$17.60	$25.95	$54.45