Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $64.51 / $86.70	Professional		$59.20	$64.51	$86.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $21.06 / $28.49	Professional	26	$18.55	$21.06	$28.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.65 / $43.50 / $58.21	Professional	TC	$33.65	$43.50	$58.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $63.22 / $119.07	Professional		$26.93	$63.22	$119.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $31.59 / $49.38	Professional	26	$10.51	$31.59	$49.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $37.08 / $79.76	Professional	TC	$16.42	$37.08	$79.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $48.92 / $139.29	Professional		$27.74	$48.92	$139.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $23.95 / $67.78	Professional	26	$11.80	$23.95	$67.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.89 / $27.11 / $69.45	Professional	TC	$13.89	$27.11	$69.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.04 / $112.04 / $112.04	Facility	26	$112.04	$112.04	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $88.40 / $466.08	Professional		$41.79	$88.40	$466.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.81 / $35.13 / $186.58	Professional	26	$15.81	$35.13	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $54.50 / $309.75	Professional	TC	$25.98	$54.50	$309.75
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $62.96 / $129.77	Professional		$41.31	$62.96	$129.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $26.01 / $52.69	Professional	26	$15.11	$26.01	$52.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $41.54 / $86.37	Professional	TC	$25.98	$41.54	$86.37