Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.67 / $52.09 / $112.13	Facility	26	$41.67	$52.09	$112.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $147.76 / $296.19	Professional		$121.81	$147.76	$296.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $50.09 / $156.62	Professional	26	$33.27	$50.09	$156.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.53 / $100.45 / $198.89	Professional	TC	$86.53	$100.45	$198.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $60.77 / $72.68	Professional	26	$36.15	$60.77	$72.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $165.34 / $252.50	Professional		$137.21	$165.34	$252.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $46.21 / $81.18	Professional	26	$34.07	$46.21	$81.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.28 / $123.07 / $189.00	Professional	TC	$98.28	$123.07	$189.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Facility	26	$55.98	$55.98	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $188.36 / $313.70	Professional		$111.15	$188.36	$313.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.80 / $50.80 / $96.79	Professional	26	$31.80	$50.80	$96.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.76 / $141.90 / $233.61	Professional	TC	$79.76	$141.90	$233.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $115.49 / $219.49 / $219.49	Facility	26	$115.49	$219.49	$219.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $191.93 / $1,019.78	Professional		$133.13	$191.93	$1,019.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $62.97 / $310.80	Professional	26	$36.29	$62.97	$310.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.05 / $139.83 / $708.98	Professional	TC	$90.05	$139.83	$708.98
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $168.58 / $297.60	Professional		$133.13	$168.58	$297.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $56.96 / $98.89	Professional	26	$35.54	$56.96	$98.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.04 / $121.79 / $207.16	Professional	TC	$88.04	$121.79	$207.16