Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.72 / $53.59 / $88.18	Facility	26	$32.72	$53.59	$88.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $131.43 / $317.05	Professional		$56.89	$131.43	$317.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $38.71 / $163.84	Professional	26	$32.72	$38.71	$163.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $84.29 / $200.38	Professional	TC	$16.03	$84.29	$200.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $94.66 / $94.66	Professional		$94.66	$94.66	$94.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $30.53 / $50.07	Professional	26	$30.53	$30.53	$50.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $108.38 / $222.41	Professional		$64.27	$108.38	$222.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.68 / $53.17 / $84.29	Professional	26	$38.68	$53.17	$84.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.85 / $61.63 / $157.66	Professional	TC	$10.85	$61.63	$157.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $131.50 / $267.95	Professional		$61.88	$131.50	$267.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.32 / $56.95 / $85.32	Professional	26	$38.32	$56.95	$85.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.30 / $93.18 / $189.96	Professional	TC	$13.30	$93.18	$189.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $92.97 / $196.24 / $196.24	Facility	26	$92.97	$196.24	$196.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $144.66 / $886.70	Professional		$82.51	$144.66	$886.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $51.48 / $414.43	Professional	26	$40.11	$51.48	$414.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.24 / $96.04 / $639.54	Professional	TC	$32.24	$96.04	$639.54
United Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $136.58 / $233.83	Professional		$92.30	$136.58	$233.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $47.76 / $90.33	Professional	26	$40.11	$47.76	$90.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.70 / $85.69 / $154.62	Professional	TC	$28.70	$85.69	$154.62