Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $212.36 / $212.36	Facility		$212.36	$212.36	$212.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $75.53 / $276.66	Professional		$51.82	$75.53	$276.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.78 / $41.34 / $188.37	Professional	26	$22.78	$41.34	$188.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.78 / $35.02 / $128.74	Professional	TC	$31.78	$35.02	$128.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $85.60	Professional		$85.60	$85.60	$85.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $34.45 / $43.99	Professional	26	$11.48	$34.45	$43.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $80.89 / $200.46	Professional		$40.98	$80.89	$200.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.46 / $36.51 / $114.07	Professional	26	$22.46	$36.51	$114.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $43.43 / $86.41	Professional	TC	$18.52	$43.43	$86.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $58.39 / $299.91	Professional		$30.52	$58.39	$299.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $28.61 / $157.81	Professional	26	$13.13	$28.61	$157.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $26.53 / $137.10	Professional	TC	$17.75	$26.53	$137.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.82 / $99.59 / $220.01	Facility		$55.82	$99.59	$220.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.18 / $234.18 / $234.18	Facility	26	$234.18	$234.18	$234.18
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $186.22 / $186.22 / $186.22	Facility	TC	$186.22	$186.22	$186.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $102.91 / $641.00	Professional		$41.14	$102.91	$641.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $40.42 / $513.00	Professional	26	$17.32	$40.42	$513.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $55.58 / $312.17	Professional	TC	$23.82	$55.58	$312.17
United Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $68.22 / $156.28	Professional		$40.75	$68.22	$156.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $28.73 / $66.14	Professional	26	$16.71	$28.73	$66.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $39.04 / $86.48	Professional	TC	$23.82	$39.04	$86.48