Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $56.73 / $100.24	Facility	26	$45.71	$56.73	$100.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.30 / $313.27 / $905.58	Professional		$269.30	$313.27	$905.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.60 / $50.69 / $241.00	Professional	26	$41.60	$50.69	$241.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.37 / $258.14 / $704.42	Professional	TC	$227.37	$258.14	$704.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $49.35 / $67.36	Professional	26	$35.15	$49.35	$67.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.12 / $368.81 / $562.67	Professional		$290.12	$368.81	$562.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.43 / $60.80 / $94.16	Professional	26	$49.43	$60.80	$94.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $244.00 / $314.88 / $473.24	Professional	TC	$244.00	$314.88	$473.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $441.40 / $712.17	Professional		$228.45	$441.40	$712.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.03 / $69.80 / $103.23	Professional	26	$43.03	$69.80	$103.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.19 / $375.06 / $608.94	Professional	TC	$212.19	$375.06	$608.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.48 / $216.00 / $216.00	Facility	26	$112.48	$216.00	$216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.01 / $421.38 / $2,116.12	Professional		$299.01	$421.38	$2,116.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.27 / $62.54 / $350.03	Professional	26	$47.27	$62.54	$350.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $255.00 / $363.54 / $1,817.68	Professional	TC	$255.00	$363.54	$1,817.68
United Facility/Professional Professional Modifier Low / Median / High Price $299.01 / $421.38 / $709.08	Professional		$299.01	$421.38	$709.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.27 / $62.95 / $144.97	Professional	26	$47.27	$62.95	$144.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.00 / $354.91 / $598.11	Professional	TC	$255.00	$354.91	$598.11