Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.64 / $80.65 / $132.69	Facility	26	$66.64	$80.65	$132.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $275.00 / $971.02	Professional		$184.49	$275.00	$971.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $67.73 / $240.60	Professional	26	$55.00	$67.73	$240.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.66 / $203.47 / $723.43	Professional	TC	$117.66	$203.47	$723.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.55 / $60.17 / $95.10	Professional	26	$44.55	$60.17	$95.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $263.64 / $595.57	Professional		$206.69	$263.64	$595.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.47 / $77.56 / $127.10	Professional	26	$60.47	$77.56	$127.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.22 / $187.17 / $482.45	Professional	TC	$146.22	$187.17	$482.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.34 / $66.34 / $66.34	Facility	26	$66.34	$66.34	$66.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.98 / $536.04	Professional		$147.91	$295.98	$536.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.48 / $82.25 / $144.07	Professional	26	$50.48	$82.25	$144.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.44 / $206.25 / $418.90	Professional	TC	$100.44	$206.25	$418.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $419.92 / $542.79 / $542.79	Facility	26	$419.92	$542.79	$542.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $346.54 / $1,884.77	Professional		$199.94	$346.54	$1,884.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.64 / $84.07 / $434.24	Professional	26	$60.64	$84.07	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $137.50 / $268.82 / $1,950.00	Professional	TC	$137.50	$268.82	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.95 / $279.98 / $509.07	Professional		$190.95	$279.98	$509.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.49 / $71.62 / $124.88	Professional	26	$57.49	$71.62	$124.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.30 / $192.50 / $328.26	Professional	TC	$132.30	$192.50	$328.26