Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.79 / $79.54 / $146.28	Facility	26	$55.79	$79.54	$146.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $332.05 / $1,882.00	Professional		$273.08	$332.05	$1,882.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.79 / $63.20 / $329.00	Professional	26	$55.79	$63.20	$329.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.30 / $243.88 / $786.53	Professional	TC	$217.30	$243.88	$786.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.23 / $79.23 / $79.23	Professional	26	$79.23	$79.23	$79.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.23 / $377.79 / $573.36	Professional		$252.23	$377.79	$573.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.50 / $78.00 / $124.26	Professional	26	$66.50	$78.00	$124.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.74 / $300.98 / $449.12	Professional	TC	$173.74	$300.98	$449.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.19 / $436.61 / $701.12	Professional		$269.19	$436.61	$701.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.49 / $93.94 / $140.11	Professional	26	$57.49	$93.94	$140.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.97 / $338.29 / $561.01	Professional	TC	$209.97	$338.29	$561.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $151.49 / $286.08 / $286.08	Facility	26	$151.49	$286.08	$286.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $440.71 / $1,814.11	Professional		$302.62	$440.71	$1,814.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $92.57 / $364.11	Professional	26	$60.69	$92.57	$364.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $241.33 / $358.02 / $1,450.00	Professional	TC	$241.33	$358.02	$1,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $440.71 / $944.55	Professional		$310.33	$440.71	$944.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $92.57 / $210.55	Professional	26	$60.69	$92.57	$210.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.12 / $354.71 / $597.25	Professional	TC	$237.12	$354.71	$597.25