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 $238.10 / $284.45 / $1,361.63	Professional		$238.10	$284.45	$1,361.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $66.00 / $154.79	Professional	26	$55.00	$66.00	$154.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.52 / $220.00 / $735.71	Professional	TC	$176.52	$220.00	$735.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.58 / $59.82 / $95.10	Professional	26	$42.58	$59.82	$95.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.37 / $305.29 / $701.85	Professional		$234.37	$305.29	$701.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.16 / $77.16 / $126.39	Professional	26	$60.16	$77.16	$126.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.22 / $231.40 / $589.37	Professional	TC	$174.22	$231.40	$589.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.33 / $377.86 / $659.00	Professional		$214.33	$377.86	$659.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $82.25 / $144.87	Professional	26	$50.12	$82.25	$144.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.66 / $302.47 / $547.80	Professional	TC	$169.66	$302.47	$547.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $417.20 / $537.20 / $537.20	Facility	26	$417.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $419.74 / $2,195.67	Professional		$276.45	$419.74	$2,195.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.25 / $82.64 / $439.20	Professional	26	$60.25	$82.64	$439.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.39 / $340.10 / $1,890.23	Professional	TC	$213.39	$340.10	$1,890.23
United Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $368.43 / $627.14	Professional		$264.64	$368.43	$627.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.72 / $72.80 / $135.06	Professional	26	$58.72	$72.80	$135.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.76 / $277.19 / $482.13	Professional	TC	$198.76	$277.19	$482.13