Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.10 / $47.50 / $55.92	Facility	26	$45.10	$47.50	$55.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $100.19 / $117.52	Professional		$91.70	$100.19	$117.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.37 / $53.95 / $64.93	Professional	TC	$47.37	$53.95	$64.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $95.00 / $154.19	Professional		$70.53	$95.00	$154.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $44.80 / $77.56	Professional	TC	$21.00	$44.80	$77.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $128.86 / $207.25	Professional		$87.79	$128.86	$207.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.15 / $62.32 / $102.51	Professional	TC	$40.15	$62.32	$102.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $106.02 / $202.83 / $202.83	Facility	26	$106.02	$202.83	$202.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $132.61 / $646.83	Professional		$85.59	$132.61	$646.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $69.11 / $354.71	Professional	TC	$40.01	$69.11	$354.71
United Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $120.68 / $218.29	Professional		$90.62	$120.68	$218.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.77 / $59.66 / $112.88	Professional	TC	$38.77	$59.66	$112.88