Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.68 / $110.44 / $209.75	Facility	26	$79.68	$110.44	$209.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $215.42 / $994.63	Professional		$141.36	$215.42	$994.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.42 / $87.84 / $256.87	Professional	26	$60.42	$87.84	$256.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.95 / $84.09 / $537.55	Professional	TC	$60.95	$84.09	$537.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.68 / $118.00 / $118.00	Professional	26	$114.68	$118.00	$118.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $223.17 / $633.90	Professional		$167.46	$223.17	$633.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.36 / $102.75 / $151.22	Professional	26	$79.36	$102.75	$151.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.89 / $121.97 / $495.70	Professional	TC	$71.89	$121.97	$495.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $105.26	Facility	26	$105.26	$105.26	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $280.98 / $654.02	Professional		$129.82	$280.98	$654.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.63 / $99.61 / $185.94	Professional	26	$64.63	$99.61	$185.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.84 / $139.82 / $539.83	Professional	TC	$61.84	$139.82	$539.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.91 / $413.29 / $413.29	Facility	26	$213.91	$413.29	$413.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $310.58 / $3,140.08	Professional		$175.23	$310.58	$3,140.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $117.36 / $681.88	Professional	26	$71.87	$117.36	$681.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.44 / $161.16 / $2,808.09	Professional	TC	$77.44	$161.16	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $242.37 / $638.17	Professional		$169.37	$242.37	$638.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $104.25 / $181.61	Professional	26	$67.70	$104.25	$181.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.56 / $112.67 / $360.21	Professional	TC	$75.56	$112.67	$360.21