Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $133.77 / $303.49	Facility		$39.61	$133.77	$303.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $12.10 / $19.91	Facility	26	$8.41	$12.10	$19.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.05 / $42.35 / $388.28	Facility	TC	$26.05	$42.35	$388.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $37.21 / $176.47	Professional		$31.23	$37.21	$176.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $11.29 / $54.97	Professional	26	$7.66	$11.29	$54.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $25.93 / $69.45	Professional	TC	$22.67	$25.93	$69.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $10.10 / $12.41	Professional	26	$6.44	$10.10	$12.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $42.26 / $70.59	Professional		$34.56	$42.26	$70.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $14.80 / $24.29	Professional	26	$12.37	$14.80	$24.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $28.02 / $46.32	Professional	TC	$22.13	$28.02	$46.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $102.21 / $455.25	Facility		$62.75	$102.21	$455.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.58 / $30.58 / $30.58	Facility	TC	$30.58	$30.58	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $47.42 / $76.61	Professional		$28.70	$47.42	$76.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $14.29 / $24.50	Professional	26	$7.78	$14.29	$24.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $32.65 / $53.50	Professional	TC	$20.56	$32.65	$53.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $50.83 / $99.76	Facility		$31.57	$50.83	$99.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $100.00 / $100.00	Facility	26	$20.47	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $57.91 / $124.11 / $124.11	Facility	TC	$57.91	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $47.77 / $230.47	Professional		$34.29	$47.77	$230.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $14.75 / $77.59	Professional	26	$10.11	$14.75	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.86 / $33.33 / $214.00	Professional	TC	$23.86	$33.33	$214.00
United Facility/Professional Facility Modifier Low / Median / High Price $336.31 / $355.39 / $685.75	Facility		$336.31	$355.39	$685.75
United Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $41.87 / $69.43	Professional		$34.09	$41.87	$69.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $12.41 / $19.89	Professional	26	$9.72	$12.41	$19.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $28.18 / $48.08	Professional	TC	$23.06	$28.18	$48.08