Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $49.07 / $136.41	Professional		$42.87	$49.07	$136.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $32.60 / $97.18	Professional	26	$27.17	$32.60	$97.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $19.39 / $43.18	Professional	TC	$17.03	$19.39	$43.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $38.33 / $54.05	Professional	26	$14.76	$38.33	$54.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $64.51 / $103.61	Professional		$23.62	$64.51	$103.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $41.15 / $60.30	Professional	26	$15.26	$41.15	$60.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.35 / $21.00 / $43.31	Professional	TC	$8.35	$21.00	$43.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $35.51 / $129.52	Professional		$25.53	$35.51	$129.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $30.83 / $82.61	Professional	26	$16.22	$30.83	$82.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.77 / $11.08 / $45.40	Professional	TC	$8.77	$11.08	$45.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $155.94 / $155.94 / $155.94	Facility	26	$155.94	$155.94	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $72.80 / $473.28	Professional		$34.21	$72.80	$473.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $48.27 / $346.00	Professional	26	$22.52	$48.27	$346.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $27.29 / $330.22	Professional	TC	$11.69	$27.29	$330.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $56.00 / $111.88	Professional		$32.06	$56.00	$111.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.45 / $37.13 / $74.12	Professional	26	$21.45	$37.13	$74.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $18.87 / $36.28	Professional	TC	$11.69	$18.87	$36.28