Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $76.41 / $171.65	Professional		$65.86	$76.41	$171.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $17.47 / $71.68	Professional	26	$14.46	$17.47	$71.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.40 / $58.94 / $187.20	Professional	TC	$51.40	$58.94	$187.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $12.71 / $25.07	Professional	26	$12.71	$12.71	$25.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $113.51 / $170.99	Professional		$34.85	$113.51	$170.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $34.04 / $45.63	Professional	26	$9.50	$34.04	$45.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.34 / $73.73 / $125.35	Professional	TC	$25.34	$73.73	$125.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $49.13 / $180.30	Professional		$38.57	$49.13	$180.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $13.07 / $71.73	Professional	26	$9.71	$13.07	$71.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.93 / $38.65 / $175.98	Professional	TC	$27.93	$38.65	$175.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $119.22 / $626.79	Professional		$59.11	$119.22	$626.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $29.75 / $171.71	Professional	26	$13.86	$29.75	$171.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $98.08 / $496.32	Professional	TC	$45.25	$98.08	$496.32
United Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $88.95 / $187.13	Professional		$53.12	$88.95	$187.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.28 / $22.88 / $44.27	Professional	26	$13.28	$22.88	$44.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.51 / $67.20 / $144.38	Professional	TC	$40.51	$67.20	$144.38