Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.74 / $204.74 / $204.74	Facility		$204.74	$204.74	$204.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $96.68 / $246.37	Professional		$76.69	$96.68	$246.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.20 / $65.94 / $401.14	Professional	26	$51.20	$65.94	$401.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.53 / $34.52 / $76.47	Professional	TC	$31.53	$34.52	$76.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $66.95 / $94.43	Professional	26	$27.76	$66.95	$94.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $129.49 / $178.00	Professional		$39.89	$129.49	$178.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $98.00 / $121.27	Professional	26	$26.64	$98.00	$121.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.00 / $30.05 / $63.85	Professional	TC	$4.00	$30.05	$63.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $65.16 / $238.08	Professional		$45.27	$65.16	$238.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.06 / $58.65 / $170.73	Professional	26	$29.06	$58.65	$170.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.98 / $20.90 / $58.33	Professional	TC	$13.98	$20.90	$58.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $110.96 / $225.17	Facility		$80.69	$110.96	$225.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $272.47 / $272.47 / $272.47	Facility	26	$272.47	$272.47	$272.47
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $184.67 / $184.67 / $184.67	Facility	TC	$184.67	$184.67	$184.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $138.91 / $643.49	Professional		$60.20	$138.91	$643.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $73.64 / $383.71	Professional	26	$39.19	$73.64	$383.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $44.69 / $350.03	Professional	TC	$21.01	$44.69	$350.03
United Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $96.47 / $192.23	Professional		$60.20	$96.47	$192.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $64.61 / $128.41	Professional	26	$37.29	$64.61	$128.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $31.65 / $70.02	Professional	TC	$21.01	$31.65	$70.02