Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $489.78 / $1,148.15	Facility		$51.29	$489.78	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $199.53 / $870.96	Professional		$60.26	$199.53	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $151.36 / $870.96	Professional	26	$34.67	$151.36	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $74.13 / $407.38	Professional	TC	$25.70	$74.13	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $91.20	Professional		$30.20	$43.65	$91.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $24.55 / $51.29	Professional	26	$15.49	$24.55	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $15.85 / $33.88	Professional	TC	$14.79	$15.85	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $190.55	Professional		$56.23	$93.33	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $60.26 / $100.00	Professional	26	$34.67	$60.26	$100.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.02 / $81.28	Professional	TC	$23.44	$38.02	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $173.78	Professional		$64.57	$79.43	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $70.79	Professional	26	$33.88	$44.67	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $36.31 / $102.33	Professional	TC	$31.62	$36.31	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $275.42	Professional		$32.36	$53.70	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $30.90 / $173.78	Professional	26	$17.38	$30.90	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $30.90 / $151.36	Professional	TC	$15.49	$30.90	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $83.18 / $223.87	Facility		$60.26	$83.18	$223.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	TC	$213.80	$213.80	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $102.33 / $549.54	Professional		$42.66	$102.33	$549.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $51.29 / $295.12	Professional	26	$26.30	$51.29	$295.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $63.10 / $346.74	Professional	TC	$19.05	$63.10	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $34.67	Facility		$17.38	$17.38	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $181.97	Professional		$42.66	$70.79	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.90 / $91.20	Professional	26	$21.88	$38.90	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $91.20	Professional	TC	$19.05	$30.90	$91.20