Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.12 / $110.12 / $110.12	Facility		$110.12	$110.12	$110.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.33 / $104.33 / $104.33	Facility	26	$104.33	$104.33	$104.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $74.61 / $148.34	Professional		$53.76	$74.61	$148.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.50 / $25.03 / $69.83	Professional	26	$18.50	$25.03	$69.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.64 / $41.30 / $91.35	Professional	TC	$36.64	$41.30	$91.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Professional		$30.22	$30.22	$30.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $24.21 / $32.49	Professional	26	$10.05	$24.21	$32.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $64.40 / $131.49	Professional		$28.32	$64.40	$131.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $29.63 / $55.93	Professional	26	$9.50	$29.63	$55.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $37.42 / $85.02	Professional	TC	$19.73	$37.42	$85.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $42.06 / $159.60	Professional		$30.52	$42.06	$159.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.62 / $21.32 / $80.45	Professional	26	$10.62	$21.32	$80.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.28 / $27.98 / $91.70	Professional	TC	$18.28	$27.98	$91.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $71.68 / $155.13	Facility		$50.47	$71.68	$155.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.52 / $113.52 / $113.52	Facility	26	$113.52	$113.52	$113.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $85.97 / $407.64	Professional		$37.90	$85.97	$407.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $31.12 / $244.00	Professional	26	$14.08	$31.12	$244.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $57.13 / $268.50	Professional	TC	$23.82	$57.13	$268.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $61.65 / $118.81	Professional		$37.90	$61.65	$118.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.53 / $23.22 / $46.92	Professional	26	$13.53	$23.22	$46.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $38.43 / $73.88	Professional	TC	$23.82	$38.43	$73.88