Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.97 / $77.20 / $127.02	Facility	26	$48.97	$77.20	$127.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.37 / $317.42 / $971.13	Professional		$282.37	$317.42	$971.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.97 / $53.82 / $257.87	Professional	26	$48.97	$53.82	$257.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.40 / $261.94 / $1,477.69	Professional	TC	$233.40	$261.94	$1,477.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $41.13 / $46.41	Professional	26	$41.13	$41.13	$46.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.81 / $403.89 / $645.73	Professional		$325.81	$403.89	$645.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.15 / $69.61 / $103.95	Professional	26	$58.15	$69.61	$103.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $267.66 / $332.64 / $542.30	Professional	TC	$267.66	$332.64	$542.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $490.02 / $721.14	Professional		$280.83	$490.02	$721.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.27 / $81.66 / $121.64	Professional	26	$50.27	$81.66	$121.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.80 / $405.98 / $599.50	Professional	TC	$227.80	$405.98	$599.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.71 / $249.77 / $249.77	Facility	26	$131.71	$249.77	$249.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $441.72 / $1,904.92	Professional		$318.77	$441.72	$1,904.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $71.70 / $318.45	Professional	26	$53.01	$71.70	$318.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $264.10 / $367.24 / $1,586.47	Professional	TC	$264.10	$367.24	$1,586.47
United Facility/Professional Professional Modifier Low / Median / High Price $312.99 / $441.72 / $731.44	Professional		$312.99	$441.72	$731.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $71.70 / $130.55	Professional	26	$53.01	$71.70	$130.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.10 / $367.24 / $805.70	Professional	TC	$264.10	$367.24	$805.70