Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.67 / $59.17 / $113.19	Facility	26	$47.67	$59.17	$113.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.29 / $300.44 / $864.60	Professional		$267.29	$300.44	$864.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.38 / $52.75 / $241.74	Professional	26	$43.38	$52.75	$241.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.91 / $251.30 / $740.36	Professional	TC	$223.91	$251.30	$740.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.69 / $51.46 / $68.81	Professional	26	$36.69	$51.46	$68.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $355.77 / $574.89	Professional		$305.57	$355.77	$574.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.22 / $61.31 / $93.25	Professional	26	$52.22	$61.31	$93.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.02 / $299.20 / $483.29	Professional	TC	$249.02	$299.20	$483.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $450.92 / $684.66	Professional		$265.61	$450.92	$684.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.16 / $73.65 / $108.40	Professional	26	$45.16	$73.65	$108.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.36 / $370.87 / $576.26	Professional	TC	$218.36	$370.87	$576.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $222.53 / $222.53	Facility	26	$117.49	$222.53	$222.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.48 / $393.11 / $1,787.71	Professional		$303.48	$393.11	$1,787.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.58 / $63.84 / $286.12	Professional	26	$47.58	$63.84	$286.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $251.31 / $336.91 / $1,501.59	Professional	TC	$251.31	$336.91	$1,501.59
United Facility/Professional Professional Modifier Low / Median / High Price $294.75 / $393.11 / $686.00	Professional		$294.75	$393.11	$686.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.58 / $64.14 / $117.23	Professional	26	$47.58	$64.14	$117.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $246.94 / $341.13 / $568.77	Professional	TC	$246.94	$341.13	$568.77