Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.83 / $63.56 / $104.59	Facility	26	$39.83	$63.56	$104.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $219.42 / $1,262.00	Professional		$184.12	$219.42	$1,262.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.83 / $45.13 / $235.00	Professional	26	$39.83	$45.13	$235.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.28 / $157.08 / $613.79	Professional	TC	$144.28	$157.08	$613.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.65 / $56.61 / $58.25	Professional	26	$33.65	$56.61	$58.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.17 / $260.10 / $453.86	Professional		$210.17	$260.10	$453.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.68 / $58.50 / $93.34	Professional	26	$47.68	$58.50	$93.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $202.04 / $360.50	Professional	TC	$162.49	$202.04	$360.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $320.87 / $471.79	Professional		$151.22	$320.87	$471.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $66.76 / $100.25	Professional	26	$40.95	$66.76	$100.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.97 / $252.70 / $371.54	Professional	TC	$141.97	$252.70	$371.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $210.21 / $210.21	Facility	26	$107.73	$210.21	$210.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.42 / $303.20 / $1,481.01	Professional		$208.42	$303.20	$1,481.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.27 / $59.56 / $501.94	Professional	26	$45.27	$59.56	$501.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $161.97 / $238.06 / $1,231.75	Professional	TC	$161.97	$238.06	$1,231.75
United Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $303.20 / $707.95	Professional		$203.78	$303.20	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.58 / $59.44 / $138.82	Professional	26	$46.58	$59.44	$138.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.68 / $221.05 / $364.79	Professional	TC	$157.68	$221.05	$364.79