Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.83 / $55.03 / $105.54	Facility	26	$21.83	$55.03	$105.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $112.06 / $652.63	Professional		$84.42	$112.06	$652.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $44.44 / $95.82	Professional	26	$16.71	$44.44	$95.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $67.29 / $406.72	Professional	TC	$44.25	$67.29	$406.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $68.27 / $68.27	Professional		$68.27	$68.27	$68.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $57.13 / $68.31	Professional	26	$33.68	$57.13	$68.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $119.86 / $430.34	Professional		$74.43	$119.86	$430.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.16 / $24.82 / $75.98	Professional	26	$17.16	$24.82	$75.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.27 / $79.34 / $392.12	Professional	TC	$57.27	$79.34	$392.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $52.72 / $52.72	Facility	26	$52.72	$52.72	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $145.54 / $587.99	Professional		$72.05	$145.54	$587.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $33.61 / $81.59	Professional	26	$16.75	$33.61	$81.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.79 / $93.51 / $539.83	Professional	TC	$43.79	$93.51	$539.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $108.25 / $205.87 / $205.87	Facility	26	$108.25	$205.87	$205.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $175.54 / $2,899.89	Professional		$100.94	$175.54	$2,899.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $57.20 / $425.60	Professional	26	$19.30	$57.20	$425.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.91 / $115.03 / $2,808.09	Professional	TC	$56.91	$115.03	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $135.19 / $375.56	Professional		$94.66	$135.19	$375.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $49.49 / $84.35	Professional	26	$18.79	$49.49	$84.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.51 / $80.11 / $305.49	Professional	TC	$54.51	$80.11	$305.49