Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $165.96	Professional		$46.77	$64.57	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $21.88 / $79.43	Professional	26	$15.14	$21.88	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $42.66 / $97.72	Professional	TC	$28.18	$42.66	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $58.88 / $120.23	Professional		$22.91	$58.88	$120.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $27.54 / $50.12	Professional	26	$10.47	$27.54	$50.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $27.54 / $79.43	Professional	TC	$13.49	$27.54	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $134.90	Professional		$66.07	$75.86	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $46.77	Professional	26	$22.91	$29.51	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $52.48 / $93.33	Professional	TC	$37.15	$52.48	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $144.54	Professional		$29.51	$41.69	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.22 / $69.18	Professional	26	$11.75	$16.22	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $29.51 / $75.86	Professional	TC	$14.13	$29.51	$75.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $467.74	Professional		$41.69	$89.13	$467.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $35.48 / $186.21	Professional	26	$15.85	$35.48	$186.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $60.26 / $309.03	Professional	TC	$25.70	$60.26	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $138.04	Professional		$41.69	$66.07	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $26.30 / $50.12	Professional	26	$14.79	$26.30	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $40.74 / $87.10	Professional	TC	$25.70	$40.74	$87.10