Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.64 / $68.93 / $122.10	Facility	26	$61.64	$68.93	$122.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $232.72 / $801.72	Professional		$160.66	$232.72	$801.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.50 / $62.06 / $224.64	Professional	26	$51.50	$62.06	$224.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.01 / $140.15 / $623.66	Professional	TC	$99.01	$140.15	$623.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $56.33	Professional		$56.33	$56.33	$56.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $66.62 / $68.55	Professional	26	$41.11	$66.62	$68.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $192.76 / $493.03	Professional		$149.33	$192.76	$493.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.29 / $71.08 / $117.60	Professional	26	$56.29	$71.08	$117.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.04 / $123.57 / $388.38	Professional	TC	$93.04	$123.57	$388.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $244.77 / $457.00	Professional		$129.11	$244.77	$457.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.62 / $76.83 / $133.19	Professional	26	$46.62	$76.83	$133.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.96 / $160.62 / $341.10	Professional	TC	$84.96	$160.62	$341.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $388.00 / $502.08 / $502.08	Facility	26	$388.00	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $283.89 / $1,547.04	Professional		$165.65	$283.89	$1,547.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.70 / $76.45 / $363.24	Professional	26	$56.70	$76.45	$363.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $105.29 / $205.03 / $1,263.33	Professional	TC	$105.29	$205.03	$1,263.33
United Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $228.40 / $408.80	Professional		$160.69	$228.40	$408.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.96 / $66.25 / $115.48	Professional	26	$53.96	$66.25	$115.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.98 / $131.81 / $275.33	Professional	TC	$103.98	$131.81	$275.33