Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.22 / $15.22 / $17.42	Facility	26	$15.22	$15.22	$17.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $53.25 / $68.14	Professional		$45.13	$53.25	$68.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $16.85 / $19.92	Professional	26	$14.54	$16.85	$19.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.77 / $36.54 / $48.84	Professional	TC	$30.77	$36.54	$48.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $62.23 / $99.44	Professional		$50.09	$62.23	$99.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $18.53 / $29.35	Professional	26	$15.24	$18.53	$29.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $43.12 / $69.73	Professional	TC	$35.11	$43.12	$69.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $67.56 / $125.46	Professional		$44.37	$67.56	$125.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $20.88 / $36.18	Professional	26	$14.23	$20.88	$36.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.96 / $47.75 / $87.74	Professional	TC	$29.96	$47.75	$87.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $32.90 / $80.00	Facility	26	$32.90	$32.90	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $70.29 / $541.00	Professional		$48.60	$70.29	$541.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $21.21 / $91.83	Professional	26	$14.18	$21.21	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.65 / $48.63 / $217.68	Professional	TC	$33.65	$48.63	$217.68
United Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $64.45 / $110.68	Professional		$47.42	$64.45	$110.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $19.54 / $36.50	Professional	26	$13.97	$19.54	$36.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.51 / $45.33 / $75.86	Professional	TC	$32.51	$45.33	$75.86