Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.27 / $32.28 / $60.51	Facility	26	$23.27	$32.28	$60.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $103.01 / $297.70	Professional		$84.65	$103.01	$297.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $26.37 / $68.89	Professional	26	$23.26	$26.37	$68.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.01 / $75.20 / $179.30	Professional	TC	$61.01	$75.20	$179.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.43 / $25.28 / $42.34	Professional	26	$19.43	$25.28	$42.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $107.95 / $195.02	Professional		$83.72	$107.95	$195.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.76 / $34.84 / $55.82	Professional	26	$26.76	$34.84	$55.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.96 / $75.64 / $139.19	Professional	TC	$56.96	$75.64	$139.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $30.07	Facility	26	$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $127.53 / $195.08	Professional		$77.45	$127.53	$195.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $36.61 / $58.09	Professional	26	$22.92	$36.61	$58.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.83 / $91.36 / $144.40	Professional	TC	$55.83	$91.36	$144.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.65 / $118.08 / $118.08	Facility	26	$61.65	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $119.59 / $642.13	Professional		$88.12	$119.59	$642.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $34.78 / $167.46	Professional	26	$26.93	$34.78	$167.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.39 / $88.28 / $474.67	Professional	TC	$61.39	$88.28	$474.67
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $106.99 / $185.24	Professional		$87.05	$106.99	$185.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $32.70 / $53.84	Professional	26	$25.63	$32.70	$53.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.04 / $79.54 / $129.60	Professional	TC	$60.04	$79.54	$129.60