Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $283.36 / $283.36	Facility		$58.82	$283.36	$283.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.90 / $42.18 / $120.29	Facility	26	$33.90	$42.18	$120.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $79.31 / $442.81	Professional		$45.05	$79.31	$442.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $43.76 / $168.20	Professional	26	$33.90	$43.76	$168.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $33.52 / $270.77	Professional	TC	$25.98	$33.52	$270.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $31.72 / $31.72	Professional	26	$31.72	$31.72	$31.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,785.00 / $5,063.00	Facility		$385.00	$1,785.00	$5,063.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $177.99 / $286.16	Professional		$65.94	$177.99	$286.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.44 / $82.79 / $124.00	Professional	26	$37.44	$82.79	$124.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.27 / $106.30 / $183.36	Professional	TC	$28.27	$106.30	$183.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $134.41 / $332.86	Professional		$66.38	$134.41	$332.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $72.13 / $147.47	Professional	26	$37.99	$72.13	$147.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.23 / $53.77 / $204.66	Professional	TC	$28.23	$53.77	$204.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $104.09 / $514.24	Facility		$58.82	$104.09	$514.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $133.40 / $323.94 / $323.94	Facility	26	$133.40	$323.94	$323.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $197.81 / $1,317.18	Professional		$69.29	$197.81	$1,317.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $92.80 / $638.00	Professional	26	$39.70	$92.80	$638.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.59 / $87.76 / $870.88	Professional	TC	$29.59	$87.76	$870.88
United Facility/Professional Facility Modifier Low / Median / High Price $117.75 / $395.00 / $1,300.00	Facility		$117.75	$395.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $116.00 / $269.30	Professional		$66.09	$116.00	$269.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $65.42 / $108.49	Professional	26	$38.81	$65.42	$108.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.13 / $44.69 / $163.77	Professional	TC	$27.13	$44.69	$163.77