Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.34 / $76.56 / $138.06	Facility	26	$69.34	$76.56	$138.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $248.94 / $1,177.71	Professional		$208.96	$248.94	$1,177.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.76 / $69.34 / $255.62	Professional	26	$56.76	$69.34	$255.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.44 / $174.40 / $972.61	Professional	TC	$144.44	$174.40	$972.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $46.09 / $62.28	Professional	26	$44.25	$46.09	$62.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.16 / $306.23 / $707.41	Professional		$237.16	$306.23	$707.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $80.17 / $132.30	Professional	26	$62.94	$80.17	$132.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.22 / $226.36 / $589.63	Professional	TC	$174.22	$226.36	$589.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $347.91 / $648.14	Professional		$171.90	$347.91	$648.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $86.60 / $149.77	Professional	26	$52.46	$86.60	$149.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.32 / $252.35 / $527.64	Professional	TC	$123.32	$252.35	$527.64
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $561.91 / $561.91	Facility	26	$434.48	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $417.81 / $2,293.84	Professional		$232.78	$417.81	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.41 / $87.03 / $523.40	Professional	26	$63.41	$87.03	$523.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $168.18 / $336.36 / $2,412.00	Professional	TC	$168.18	$336.36	$2,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.83 / $323.61 / $571.44	Professional		$221.83	$323.61	$571.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.73 / $78.81 / $141.30	Professional	26	$60.73	$78.81	$141.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.81 / $249.39 / $431.27	Professional	TC	$161.81	$249.39	$431.27