Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $57.25 / $64.75	Professional		$50.30	$57.25	$64.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.26 / $20.89 / $23.76	Professional	26	$18.26	$20.89	$23.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $36.36 / $40.99	Professional	TC	$32.04	$36.36	$40.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $65.37 / $121.01	Professional		$32.11	$65.37	$121.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $24.23 / $43.19	Professional	26	$11.52	$24.23	$43.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $40.92 / $77.84	Professional	TC	$20.59	$40.92	$77.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $36.28 / $149.63	Professional		$28.96	$36.28	$149.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.93 / $56.39	Professional	26	$10.47	$15.93	$56.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $27.77 / $102.26	Professional	TC	$18.48	$27.77	$102.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.49 / $110.49 / $110.49	Facility	26	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $76.50 / $438.19	Professional		$45.04	$76.50	$438.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $28.51 / $158.25	Professional	26	$16.67	$28.51	$158.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $49.37 / $279.94	Professional	TC	$28.36	$49.37	$279.94
United Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $73.34 / $143.59	Professional		$40.54	$73.34	$143.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $27.57 / $53.39	Professional	26	$16.10	$27.57	$53.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.68 / $47.28 / $94.56	Professional	TC	$25.68	$47.28	$94.56