Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $107.15 / $151.36	Facility	26	$44.67	$107.15	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $186.21	Professional		$52.48	$66.07	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $47.86 / $173.78	Professional	26	$37.15	$47.86	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $48.98	Professional	TC	$15.14	$19.05	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $66.07 / $72.44	Professional	26	$33.88	$66.07	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $125.89	Professional		$61.66	$75.86	$125.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $87.10	Professional	26	$44.67	$54.95	$87.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $20.89 / $35.48	Professional	TC	$16.98	$20.89	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $109.65	Professional		$69.18	$77.62	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $54.95 / $77.62	Professional	26	$48.98	$54.95	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.39 / $32.36	Professional	TC	$19.05	$22.39	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $123.03	Professional		$60.26	$87.10	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $93.33	Professional	26	$43.65	$61.66	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.12 / $36.31	Professional	TC	$16.60	$25.12	$36.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $208.93 / $208.93	Facility	26	$107.15	$208.93	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $407.38	Professional		$56.23	$79.43	$407.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $407.38	Professional	26	$39.81	$56.23	$407.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $407.38	Professional	TC	$16.22	$22.91	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $120.23	Professional		$60.26	$74.13	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $52.48 / $87.10	Professional	26	$42.66	$52.48	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.89 / $34.67	Professional	TC	$16.60	$20.89	$34.67