Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $51.29 / $131.83	Facility	26	$33.11	$51.29	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $467.74	Professional		$77.62	$131.83	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $42.66 / $85.11	Professional	26	$25.70	$42.66	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $89.13 / $239.88	Professional	TC	$47.86	$89.13	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $41.69	Professional	26	$20.89	$30.20	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $169.82	Professional		$72.44	$91.20	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.11 / $53.70	Professional	26	$28.18	$33.11	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $60.26 / $120.23	Professional	TC	$43.65	$60.26	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $147.91	Professional		$104.71	$109.65	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $30.20 / $41.69	Professional	26	$28.84	$30.20	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $79.43 / $104.71	Professional	TC	$75.86	$79.43	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $257.04	Professional		$83.18	$128.82	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $37.15 / $72.44	Professional	26	$23.44	$37.15	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $89.13 / $186.21	Professional	TC	$57.54	$89.13	$186.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $257.04 / $257.04	Facility	26	$199.53	$257.04	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $660.69	Professional		$87.10	$123.03	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.48 / $173.78	Professional	26	$25.12	$35.48	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $91.20 / $489.78	Professional	TC	$61.66	$91.20	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $194.98	Professional		$87.10	$117.49	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $56.23	Professional	26	$25.70	$32.36	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $144.54	Professional	TC	$61.66	$85.11	$144.54