Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.34 / $84.59 / $153.54	Facility	26	$58.34	$84.59	$153.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.02 / $180.73 / $601.98	Professional		$110.02	$180.73	$601.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $66.15 / $222.96	Professional	26	$52.85	$66.15	$222.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.74 / $83.09 / $402.27	Professional	TC	$51.74	$83.09	$402.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.11 / $86.55 / $96.33	Professional	26	$84.11	$86.55	$96.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $167.57 / $540.47	Professional		$122.34	$167.57	$540.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $74.30 / $119.83	Professional	26	$55.43	$74.30	$119.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.92 / $92.98 / $420.62	Professional	TC	$66.92	$92.98	$420.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.09 / $77.09 / $77.09	Facility	26	$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.59 / $205.01 / $632.00	Professional		$100.59	$205.01	$632.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.24 / $79.25 / $140.60	Professional	26	$49.24	$79.25	$140.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.51 / $108.63 / $539.83	Professional	TC	$51.51	$108.63	$539.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $155.03 / $302.75 / $302.75	Facility	26	$155.03	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $240.50 / $3,098.01	Professional		$137.80	$240.50	$3,098.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.53 / $93.37 / $636.41	Professional	26	$59.53	$93.37	$636.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.17 / $132.43 / $2,808.09	Professional	TC	$66.17	$132.43	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $187.07 / $449.34	Professional		$134.40	$187.07	$449.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.12 / $76.54 / $125.49	Professional	26	$58.12	$76.54	$125.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.38 / $92.96 / $356.91	Professional	TC	$63.38	$92.96	$356.91