Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $140.84 / $806.96	Facility		$99.09	$140.84	$806.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.57 / $20.26 / $34.68	Facility	26	$13.57	$20.26	$34.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $99.09 / $253.98	Professional		$84.51	$99.09	$253.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $15.84 / $81.76	Professional	26	$13.57	$15.84	$81.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.37 / $84.17 / $176.81	Professional	TC	$71.37	$84.17	$176.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $16.09 / $19.73	Professional	26	$11.49	$16.09	$19.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $102.22 / $176.79	Professional		$81.08	$102.22	$176.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.34 / $20.81 / $35.17	Professional	26	$16.34	$20.81	$35.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.73 / $81.03 / $144.26	Professional	TC	$64.73	$81.03	$144.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.86 / $321.62 / $912.30	Facility		$183.86	$321.62	$912.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $114.97 / $205.39	Professional		$75.04	$114.97	$205.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $22.09 / $33.20	Professional	26	$13.57	$22.09	$33.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.75 / $98.40 / $177.70	Professional	TC	$62.75	$98.40	$177.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.89 / $134.81 / $262.98	Facility		$90.89	$134.81	$262.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.72 / $100.00 / $100.00	Facility	26	$36.72	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $122.84 / $687.89	Professional		$85.75	$122.84	$687.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $22.27 / $150.00	Professional	26	$16.07	$22.27	$150.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.95 / $101.57 / $591.79	Professional	TC	$69.95	$101.57	$591.79
United Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $185.10 / $483.44	Facility		$91.56	$185.10	$483.44
United Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $106.87 / $182.02	Professional		$84.06	$106.87	$182.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $18.73 / $31.54	Professional	26	$15.77	$18.73	$31.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.03 / $88.00 / $163.44	Professional	TC	$66.03	$88.00	$163.44