Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.27 / $80.23 / $132.01	Facility	26	$66.27	$80.23	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.10 / $282.06 / $973.05	Professional		$183.10	$282.06	$973.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $71.23 / $281.31	Professional	26	$55.00	$71.23	$281.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.70 / $215.99 / $721.49	Professional	TC	$117.70	$215.99	$721.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.91 / $90.89	Professional	26	$43.65	$63.91	$90.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $262.41 / $594.97	Professional		$205.76	$262.41	$594.97
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 $145.29 / $185.99 / $481.84	Professional	TC	$145.29	$185.99	$481.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $294.76 / $535.50	Professional		$147.08	$294.76	$535.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $82.68 / $143.99	Professional	26	$50.40	$82.68	$143.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.87 / $204.63 / $418.37	Professional	TC	$99.87	$204.63	$418.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $417.20 / $540.32 / $540.32	Facility	26	$417.20	$540.32	$540.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $345.73 / $1,882.38	Professional		$198.85	$345.73	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $82.64 / $434.24	Professional	26	$60.26	$82.64	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $268.08 / $1,906.00	Professional	TC	$136.41	$268.08	$1,906.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.29 / $288.18 / $508.46	Professional		$194.29	$288.18	$508.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.50 / $72.80 / $133.99	Professional	26	$57.50	$72.80	$133.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.83 / $194.52 / $337.95	Professional	TC	$130.83	$194.52	$337.95