Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $61.34 / $141.77	Professional		$56.51	$61.34	$141.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $25.46 / $70.80	Professional	26	$20.29	$25.46	$70.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $38.96 / $95.32	Professional	TC	$33.97	$38.96	$95.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.86 / $34.86 / $40.53	Professional	26	$34.86	$34.86	$40.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $68.09 / $120.11	Professional		$29.66	$68.09	$120.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $36.18 / $55.93	Professional	26	$11.95	$36.18	$55.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $38.32 / $65.50	Professional	TC	$17.71	$38.32	$65.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $40.04 / $141.24	Professional		$32.82	$40.04	$141.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $26.26 / $75.84	Professional	26	$13.08	$26.26	$75.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.77 / $26.63 / $63.75	Professional	TC	$15.77	$26.63	$63.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $87.54 / $424.65	Professional		$41.79	$87.54	$424.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $37.86 / $214.00	Professional	26	$17.54	$37.86	$214.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $50.43 / $272.93	Professional	TC	$24.25	$50.43	$272.93
United Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $68.06 / $137.47	Professional		$40.77	$68.06	$137.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $29.23 / $57.90	Professional	26	$16.78	$29.23	$57.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $39.13 / $79.58	Professional	TC	$24.25	$39.13	$79.58