Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.99 / $72.31 / $118.99	Facility	26	$45.99	$72.31	$118.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $205.97 / $484.55	Professional		$183.09	$205.97	$484.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.97 / $51.67 / $143.63	Professional	26	$44.97	$51.67	$143.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.11 / $153.88 / $366.72	Professional	TC	$137.11	$153.88	$366.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $66.84 / $66.84	Professional	26	$40.09	$66.84	$66.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.90 / $256.72 / $431.15	Professional		$212.90	$256.72	$431.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.85 / $63.58 / $114.35	Professional	26	$54.85	$63.58	$114.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.04 / $190.57 / $323.60	Professional	TC	$158.04	$190.57	$323.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.80 / $59.80 / $59.80	Facility	26	$59.80	$59.80	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $298.23 / $550.00	Professional		$182.75	$298.23	$550.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.55 / $74.89 / $130.62	Professional	26	$45.55	$74.89	$130.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.82 / $220.71 / $358.51	Professional	TC	$131.82	$220.71	$358.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.98 / $234.66 / $234.66	Facility	26	$122.98	$234.66	$234.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.42 / $291.92 / $1,374.92	Professional		$224.42	$291.92	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.61 / $70.70 / $330.16	Professional	26	$54.61	$70.70	$330.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.88 / $220.07 / $1,044.76	Professional	TC	$165.88	$220.07	$1,044.76
United Facility/Professional Professional Modifier Low / Median / High Price $212.43 / $273.75 / $472.06	Professional		$212.43	$273.75	$472.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $66.80 / $123.14	Professional	26	$51.32	$66.80	$123.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.11 / $204.99 / $354.82	Professional	TC	$161.11	$204.99	$354.82