Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.02 / $65.04 / $113.43	Facility	26	$48.02	$65.04	$113.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $357.47 / $1,058.65	Professional		$306.70	$357.47	$1,058.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.69 / $49.50 / $229.93	Professional	26	$43.69	$49.50	$229.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.01 / $295.17 / $858.79	Professional	TC	$263.01	$295.17	$858.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.65 / $62.08 / $74.25	Professional	26	$50.65	$62.08	$74.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.91 / $383.93 / $607.16	Professional		$310.91	$383.93	$607.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.65 / $63.55 / $101.39	Professional	26	$51.65	$63.55	$101.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.26 / $320.11 / $537.39	Professional	TC	$259.26	$320.11	$537.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.91 / $475.54 / $789.99	Professional		$288.91	$475.54	$789.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.58 / $72.33 / $108.44	Professional	26	$44.58	$72.33	$108.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.12 / $404.15 / $681.56	Professional	TC	$242.12	$404.15	$681.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.60 / $236.00 / $236.00	Facility	26	$118.60	$236.00	$236.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.55 / $466.91 / $2,348.14	Professional		$328.55	$466.91	$2,348.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $65.33 / $379.76	Professional	26	$49.65	$65.33	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $280.51 / $389.57 / $2,034.68	Professional	TC	$280.51	$389.57	$2,034.68
United Facility/Professional Professional Modifier Low / Median / High Price $328.55 / $441.86 / $766.74	Professional		$328.55	$441.86	$766.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.62 / $64.68 / $163.29	Professional	26	$47.62	$64.68	$163.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.62 / $376.20 / $657.51	Professional	TC	$284.62	$376.20	$657.51