Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $63.57 / $95.34	Professional		$53.16	$63.57	$95.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $21.75 / $39.49	Professional	26	$18.80	$21.75	$39.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $41.81 / $55.96	Professional	TC	$33.11	$41.81	$55.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $64.73 / $116.51	Professional		$29.66	$64.73	$116.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $32.08 / $50.06	Professional	26	$10.94	$32.08	$50.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $38.90 / $76.09	Professional	TC	$18.72	$38.90	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $41.72 / $137.31	Professional		$28.80	$41.72	$137.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $24.26 / $74.27	Professional	26	$11.96	$24.26	$74.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $26.16 / $63.05	Professional	TC	$12.70	$26.16	$63.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.54 / $113.54 / $113.54	Facility	26	$113.54	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $82.62 / $453.03	Professional		$43.52	$82.62	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $35.90 / $158.49	Professional	26	$16.23	$35.90	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $57.23 / $300.38	Professional	TC	$27.28	$57.23	$300.38
United Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $70.80 / $145.08	Professional		$40.44	$70.80	$145.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $26.92 / $52.93	Professional	26	$15.48	$26.92	$52.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.39 / $43.61 / $86.44	Professional	TC	$24.39	$43.61	$86.44